This
page
is
part
of
Willis
MRI
angiogram
35960-4
Clavicle
CT
35961-2
Clavicle
MRI
35959-6
Clavicle
X-ray
tomograph
44120-4
Colon
CT
24757-7
Coronary
arteries
CT
fast
35962-0
Elbow
CT
24674-4
Elbow
MRI
35963-8
Elbow
X-ray
tomograph
35965-3
Elbow
-
bilateral
CT
26220-4
Elbow
-
bilateral
MRI
35964-6
Elbow
-
bilateral
X-ray
tomograph
35966-1
Elbow
-
left
CT
26221-2
Elbow
-
left
MRI
35967-9
Elbow
-
left
X-ray
tomograph
35968-7
Elbow
-
right
CT
26222-0
Elbow
-
right
MRI
37688-9
Elbow
-
right
X-ray
tomograph
35969-5
Esophagus
CT
57823-7
Esophagus
PET
24690-0
Extremity
CT
69193-1
Extremity
MRI
24693-4
Extremity
US
35970-3
Extremity
X-ray
tomograph
39042-7
Extremity
artery
US.doppler
39031-0
Extremity
artery
-
bilateral
US.doppler
69293-9
Extremity
artery
-
left
US
39428-8
Extremity
artery
-
left
US.doppler
69297-0
Extremity
artery
-
right
US
39439-5
Extremity
artery
-
right
US.doppler
39449-4
Extremity
vein
US.doppler
39418-9
Extremity
vein
-
bilateral
US.doppler
42145-3
Extremity
vein
-
left
US
39429-6
Extremity
vein
-
left
US.doppler
42144-6
Extremity
vein
-
right
US
39440-3
Extremity
vein
-
right
US.doppler
30876-7
Extremity
veins
MRI
angiogram
69283-0
Extremity
veins
-
bilateral
US.doppler
41835-0
Extremity
veins
-
left
US
41816-0
Extremity
veins
-
right
US
36794-6
Extremity
vessels
MRI
angiogram
43771-5
Extremity
vessels
US.doppler
39495-7
Extremity
vessels
-
bilateral
US.doppler
69398-6
Extremity
vessels
Left
US.doppler
39503-8
Extremity
vessels
-
right
US.doppler
26224-6
Extremity
-
bilateral
CT
26223-8
Extremity
-
bilateral
US
26226-1
Extremity
-
left
CT
26225-3
Extremity
-
left
US
26231-1
Extremity
-
right
CT
26230-3
Extremity
-
right
US
24853-4
Eye+Orbit
-
bilateral
US
35953-9
Face
MRI
41808-7
Facial
bones
and
Maxilla
CT
24696-7
Facial
bones
and
Sinuses
CT
69389-5
Femoral
artery
and
Popliteal
artery
US
69399-4
Femoral
vein
and
Popliteal
vein
US
30871-8
Femoral
vessels
MRI
angiogram
38134-3
Femoral
vessels
US
38128-5
Femoral
vessels
-
bilateral
US
39498-1
Femoral
vessels
-
left
US.doppler
39504-6
Femoral
vessels
-
right
US.doppler
35984-4
Femur
CT
35985-1
Femur
X-ray
tomograph
35986-9
Femur
-
bilateral
X-ray
tomograph
35987-7
Femur
-
left
CT
38037-8
Femur
-
left
US
35988-5
Femur
-
left
X-ray
tomograph
35989-3
Femur
-
right
CT
38048-5
Femur
-
right
US
38768-8
Femur
-
right
X-ray
tomograph
24705-6
Finger
MRI
26238-6
Finger
-
bilateral
MRI
26239-4
Finger
-
left
MRI
26240-2
Finger
-
right
MRI
37221-9
Fistula
CT
35991-9
Foot
CT
24707-2
Foot
MRI
35992-7
Foot
X-ray
tomograph
30872-6
Foot
vessels
MRI
angiogram
46362-0
Foot
vessels
US.doppler
35993-5
Foot
-
bilateral
CT
26241-0
Foot
-
bilateral
MRI
35994-3
Foot
-
left
CT
26242-8
Foot
-
left
MRI
35995-0
Foot
-
left
X-ray
tomograph
35996-8
Foot
-
right
CT
26243-6
Foot
-
right
MRI
37706-9
Foot
-
right
X-ray
tomograph
35997-6
Forearm
CT
24710-6
Forearm
MRI
30873-4
Forearm
vessels
MRI
angiogram
35998-4
Forearm
-
bilateral
CT
26244-4
Forearm
-
bilateral
MRI
35999-2
Forearm
-
left
CT
26245-1
Forearm
-
left
MRI
36000-8
Forearm
-
right
CT
26246-9
Forearm
-
right
MRI
24711-4
Gallbladder
US
36001-6
Gallbladder
X-ray
tomograph
39415-5
Gastrointestine
US
39416-3
Genitourinary
system
US
37236-7
Great
vessel
MRI
24719-7
Groin
US
36002-4
Hand
CT
24720-5
Hand
MRI
36003-2
Hand
X-ray
tomograph
46382-8
Hand
vessels
US.doppler
36004-0
Hand
-
bilateral
CT
26247-7
Hand
-
bilateral
MRI
36005-7
Hand
-
left
CT
26248-5
Hand
-
left
MRI
36006-5
Hand
-
left
X-ray
tomograph
36007-3
Hand
-
right
CT
26249-3
Hand
-
right
MRI
37717-6
Hand
-
right
X-ray
tomograph
24725-4
Head
CT
24728-8
Head
CT
cine
24731-2
Head
US
58741-0
Head
to
thigh
PET
30858-5
Head
veins
MRI
angiogram
30856-9
Head
vessels
MRI
angiogram
24733-8
Head
vessels
US.doppler
42304-6
Head
vessels
and
Neck
vessels
MRI
angiogram
30880-9
Head
vessels
and
Neck
vessels
US.doppler
30655-5
Head
Cistern
MRI
24746-0
Head
Sagittal
Sinus
MRI
58742-8
Head
and
Neck
PET
44164-2
Head
and
Neck
US
58744-4
Heart
CT
24748-6
Heart
MRI
36009-9
Heart
MRI
angiogram
44137-8
Heart
PET
42148-7
Heart
US
36014-9
Hip
CT
36013-1
Hip
MRI
24760-1
Hip
US
36012-3
Hip
X-ray
tomograph
36016-4
Hip
-
bilateral
CT
36017-2
Hip
-
bilateral
MRI
26250-1
Hip
-
bilateral
US
36015-6
Hip
-
bilateral
X-ray
tomograph
36018-0
Hip
-
left
CT
36020-6
Hip
-
left
MRI
26251-9
Hip
-
left
US
36019-8
Hip
-
left
X-ray
tomograph
36021-4
Hip
-
right
CT
36022-2
Hip
-
right
MRI
26252-7
Hip
-
right
US
37735-8
Hip
-
right
X-ray
tomograph
43566-9
Hip
and
Thigh
US
36024-8
Humerus
X-ray
tomograph
39425-4
Iliac
artery
US.doppler
42147-9
Iliac
graft
US.doppler
39497-3
Iliac
vessels
US.doppler
38129-3
Iliac
vessels
-
bilateral
US
38137-6
Iliac
vessels
-
left
US
38141-8
Iliac
vessels
-
right
US
35958-8
Internal
auditory
canal
CT
35956-2
Internal
auditory
canal
MRI
24767-6
Internal
auditory
canal
X-ray
tomograph
26253-5
Internal
auditory
canal
-
bilateral
X-ray
tomograph
35957-0
Internal
auditory
canal
-
left
CT
26254-3
Internal
auditory
canal
-
left
X-ray
tomograph
38767-0
Internal
auditory
canal
-
right
CT
26255-0
Internal
auditory
canal
-
right
X-ray
tomograph
24735-3
Internal
auditory
canal
and
Posterior
fossa
MRI
36033-9
Kidney
MRI
38036-0
Kidney
US
36032-1
Kidney
X-ray
tomograph
39032-8
Kidney
transplant
US
42477-0
Kidney
vessels
transplant
US.doppler
43767-3
Kidney
-
bilateral
CT
36034-7
Kidney
-
bilateral
MRI
43774-9
Kidney
-
bilateral
US
24789-0
Kidney
-
bilateral
X-ray
tomograph
69402-6
Kidney
Bilateral
and
Bladder
US
36035-4
Kidney
-
left
MRI
38038-6
Kidney
-
left
US
69113-9
Kidney
-
right
CT
36036-2
Kidney
-
right
MRI
38049-3
Kidney
-
right
US
36037-0
Knee
CT
24802-1
Knee
MRI
36038-8
Knee
X-ray
tomograph
36799-5
Knee
vessels
MRI
angiogram
36800-1
Knee
vessels
-
left
MRI
angiogram
36801-9
Knee
vessels
-
right
MRI
angiogram
36040-4
Knee
-
bilateral
CT
26256-8
Knee
-
bilateral
MRI
36039-6
Knee
-
bilateral
X-ray
tomograph
36041-2
Knee
-
left
CT
26257-6
Knee
-
left
MRI
36042-0
Knee
-
left
X-ray
tomograph
36043-8
Knee
-
right
CT
26258-4
Knee
-
right
MRI
37760-6
Knee
-
right
X-ray
tomograph
36045-3
Larynx
MRI
36044-6
Larynx
X-ray
tomograph
24814-6
Liver
CT
36046-1
Liver
MRI
28614-6
Liver
US
39454-4
Liver
transplant
US
24818-7
Liver
and
Diaphragm
US
35971-1
Lower
extremity
CT
30692-8
Lower
extremity
MRI
30709-0
Lower
extremity
US
35972-9
Lower
extremity
X-ray
tomograph
48693-6
Lower
extremity
artery
US
39434-6
Lower
extremity
artery
US.doppler
38130-1
Lower
extremity
artery
-
bilateral
US
39421-3
Lower
extremity
artery
-
bilateral
US.doppler
41834-3
Lower
extremity
artery
-
left
US
39499-9
Lower
extremity
artery
-
left
US.doppler
41815-2
Lower
extremity
artery
-
right
US
39505-3
Lower
extremity
artery
-
right
US.doppler
46363-8
Lower
extremity
vein
US
30881-7
Lower
extremity
vein
US.doppler
46364-6
Lower
extremity
vein
-
bilateral
US
39420-5
Lower
extremity
vein
-
bilateral
US.doppler
48692-8
Lower
extremity
vein
-
left
US
39432-0
Lower
extremity
vein
-
left
US.doppler
48691-0
Lower
extremity
vein
-
right
US
39443-7
Lower
extremity
vein
-
right
US.doppler
36079-2
Lower
extremity
veins
MRI
angiogram
69385-3
Lower
extremity
veins
-
bilateral
US
36784-7
Lower
extremity
veins
-
left
MRI
angiogram
69392-9
Lower
extremity
veins
-
left
US
36785-4
Lower
extremity
veins
-
right
MRI
angiogram
42461-4
Lower
extremity
vessel
graft
-
left
US.doppler
42462-2
Lower
extremity
vessel
graft
-
right
US.doppler
30874-2
Lower
extremity
vessels
MRI
angiogram
44174-1
Lower
extremity
vessels
US.doppler
35974-5
Lower
extremity
vessels
-
bilateral
MRI
angiogram
39422-1
Lower
extremity
vessels
-
bilateral
US.doppler
36795-3
Lower
extremity
vessels
-
left
MRI
angiogram
39431-2
Lower
extremity
vessels
-
left
US.doppler
36796-1
Lower
extremity
vessels
-
right
MRI
angiogram
39442-9
Lower
extremity
vessels
-
right
US.doppler
35973-7
Lower
extremity
-
bilateral
CT
35975-2
Lower
extremity
-
bilateral
MRI
38013-9
Lower
extremity
-
bilateral
US
24687-6
Lower
Extremity
Joint
MRI
26227-9
Lower
extremity
joint
-
bilateral
MRI
26228-7
Lower
extremity
joint
-
left
MRI
26229-5
Lower
extremity
joint
-
right
MRI
35976-0
Lower
extremity
-
left
CT
35978-6
Lower
extremity
-
left
MRI
38040-2
Lower
extremity
-
left
US
35977-8
Lower
extremity
-
left
X-ray
tomograph
35979-4
Lower
extremity
-
right
CT
35980-2
Lower
extremity
-
right
MRI
38051-9
Lower
extremity
-
right
US
37766-3
Lower
extremity
-
right
X-ray
tomograph
36074-3
Lower
leg
CT
24821-1
Lower
leg
MRI
43513-1
Lower
leg
vessels
-
left
MRI
angiogram
43556-0
Lower
leg
vessels
-
right
MRI
angiogram
42696-5
Lower
leg
-
bilateral
MRI
36075-0
Lower
leg
-
left
MRI
36076-8
Lower
leg
-
right
MRI
30866-8
Lumbar
plexus
MRI
57822-9
Lung
PET
36047-9
Mandible
CT
36048-7
Mandible
X-ray
tomograph
38043-6
Mastoid
US
36776-3
Mastoid
X-ray
tomograph
46298-6
Mastoid
-
bilateral
CT
36050-3
Maxilla
CT
36049-5
Maxilla
and
Mandible
CT
37234-2
Mediastinum
MRI
38044-4
Mediastinum
US
37233-4
Mediastinum
X-ray
tomograph
69394-5
Mesenteric
artery
US
69211-1
Nasal
bones
MRI
37606-1
Nasal
bones
X-ray
tomograph
30860-1
Nasopharynx
MRI
24835-1
Nasopharynx
and
Neck
CT
36051-1
Neck
CT
24839-3
Neck
MRI
24842-7
Neck
US
36788-8
Neck
veins
MRI
angiogram
36085-9
Neck
vessels
MRI
angiogram
44175-8
Neck
vessels
US.doppler
30857-7
Nerves
cranial
MRI
41807-9
Orbit
CT
36777-1
Orbit
MRI
36802-7
Orbit
vessels
MRI
angiogram
24848-4
Orbit
-
bilateral
CT
37611-1
Orbit
-
bilateral
X-ray
tomograph
38836-3
Orbit
-
left
MRI
36778-9
Orbit
-
right
MRI
42303-8
Orbit
and
Face
MRI
43530-5
Orbit
and
Face
and
Neck
MRI
43455-5
Oropharynx
MRI
39502-0
Ovarian
vessels
US.doppler
36779-7
Ovary
MRI
69390-3
Ovary
US
43506-5
Ovary
-
bilateral
MRI
24857-5
Pancreas
CT
36052-9
Pancreas
MRI
24859-1
Pancreas
US
39509-5
Pancreas
transplant
US
36053-7
Parathyroid
MRI
38045-1
Parathyroid
US
37223-5
Parotid
gland
CT
37224-3
Parotid
gland
MRI
38138-4
Parotid
gland
US
24865-8
Pelvis
CT
24867-4
Pelvis
MRI
24869-0
Pelvis
US
37632-7
Pelvis
X-ray
tomograph
36789-6
Pelvis
veins
MRI
angiogram
30867-6
Pelvis
vessels
MRI
angiogram
24870-8
Pelvis
vessels
US.doppler
24872-4
Pelvis
and
Hip
MRI
26259-2
Pelvis
and
Hip
-
bilateral
MRI
26260-0
Pelvis
and
Hip
-
left
MRI
26261-8
Pelvis
and
Hip
-
right
MRI
38140-0
Penis
US
38139-2
Penis
vessels
US
24877-3
Petrous
bone
CT
36932-2
Pituitary
and
Sella
turcica
CT
24880-7
Pituitary
and
Sella
turcica
MRI
24881-5
Popliteal
space
US
26262-6
Popliteal
space
-
bilateral
US
26263-4
Popliteal
space
-
left
US
26264-2
Popliteal
space
-
right
US
36077-6
Portal
vein
MRI
angiogram
69284-8
Portal
vein
and
Hepatic
vein
US.doppler
36055-2
Posterior
fossa
CT
36056-0
Posterior
fossa
MRI
36057-8
Prostate
CT
30675-3
Prostate
MRI
24884-9
Prostate
US
43445-6
Pulmonary
system
CT
43454-8
Pulmonary
system
MRI
36803-5
Pulmonary
vessels
MRI
angiogram
24892-2
Rectum
US
69294-7
Renal
artery
US
39435-3
Renal
artery
US.doppler
36078-4
Renal
vein
MRI
angiogram
30868-4
Renal
vessels
MRI
angiogram
69295-4
Renal
vessels
US
39426-2
Renal
vessels
US.doppler
36804-3
Renal
vessels
-
bilateral
MRI
angiogram
39419-7
Renal
vessels
-
bilateral
US.doppler
30619-1
Sacroiliac
Joint
CT
36031-3
Sacroiliac
Joint
MRI
36058-6
Sacrum
CT
36059-4
Sacrum
MRI
38053-5
Sacrum
US
37653-3
Sacrum
X-ray
tomograph
69116-2
Sacrum
and
Coccyx
CT
36060-2
Sacrum
and
Coccyx
MRI
36933-0
Salivary
gland
MRI
69298-8
Salivary
gland
US
69117-0
Scapula
CT
36061-0
Scapula
MRI
36073-5
Scrotum
and
Testicle
MRI
25002-7
Scrotum
and
Testicle
US
48742-1
Scrotum
and
Testicle
US.doppler
26271-7
Scrotum
and
Testicle
-
bilateral
US
26272-5
Scrotum
and
Testicle
-
left
US
26273-3
Scrotum
and
Testicle
-
right
US
42437-4
Sella
turcica
X-ray
tomograph
36062-8
Shoulder
CT
24905-2
Shoulder
MRI
24907-8
Shoulder
US
37850-5
Shoulder
X-ray
tomograph
36805-0
Shoulder
vessels
MRI
angiogram
36806-8
Shoulder
vessels
-
left
MRI
angiogram
36807-6
Shoulder
vessels
-
right
MRI
angiogram
36063-6
Shoulder
-
bilateral
CT
26266-7
Shoulder
-
bilateral
MRI
26265-9
Shoulder
-
bilateral
US
36064-4
Shoulder
-
left
CT
26268-3
Shoulder
-
left
MRI
26267-5
Shoulder
-
left
US
36065-1
Shoulder
-
left
X-ray
tomograph
36066-9
Shoulder
-
right
CT
26270-9
Shoulder
-
right
MRI
26269-1
Shoulder
-
right
US
37811-7
Shoulder
-
right
X-ray
tomograph
30588-8
Sinuses
CT
24914-4
Sinuses
MRI
37866-1
Sinuses
X-ray
tomograph
37874-5
Skull
X-ray
tomograph
37495-9
Skull.base
CT
28566-8
Spine
CT
36067-7
Spine
MRI
24926-8
Spine
US
37497-5
Spine
vessels
MRI
angiogram
24932-6
Spine
Cervical
CT
24935-9
Spine
Cervical
MRI
70926-1
Spine
Cervical
US
36068-5
Spine
Cervical
X-ray
tomograph
43457-1
Spine
Cervical
and
Spine
Thoracic
MRI
42698-1
Spine
Cervical
and
Thoracic
and
Lumbar
MRI
24963-1
Spine
Lumbar
CT
24968-0
Spine
Lumbar
MRI
69393-7
Spine
Lumbar
US
36069-3
Spine
Lumbar
X-ray
tomograph
37232-6
Spine
Lumbosacral
Junction
CT
24978-9
Spine
Thoracic
CT
24980-5
Spine
Thoracic
MRI
70927-9
Spine
Thoracic
US
37911-5
Spine
Thoracic
X-ray
tomograph
49565-5
Thoracic
Spine
vessels
MRI
angiogram
24988-8
Spleen
CT
36070-1
Spleen
MRI
24990-4
Spleen
US
37225-0
Sternoclavicular
Joint
CT
36071-9
Sternum
CT
36072-7
Sternum
MRI
37885-1
Sternum
X-ray
tomograph
36782-1
Subclavian
artery
MRI
angiogram
38131-9
Subclavian
vessels
-
bilateral
US
46359-6
Superior
mesenteric
vessels
MRI
angiogram
44235-0
Superior
mesenteric
vessels
US.doppler
42468-9
Surgical
specimen
US
38059-2
Talus
CT
36773-0
Temporal
bone
CT
37226-8
Temporomandibular
joint
CT
24999-5
Temporomandibular
joint
MRI
30719-9
Temporomandibular
joint
X-ray
tomograph
37228-4
Temporomandibular
joint
-
bilateral
MRI
37227-6
Temporomandibular
joint
-
bilateral
X-ray
tomograph
37230-0
Temporomandibular
joint
-
left
MRI
37229-2
Temporomandibular
joint
-
left
X-ray
tomograph
37231-8
Temporomandibular
joint
-
right
MRI
37819-0
Temporomandibular
joint
-
right
X-ray
tomograph
39446-0
Testicle
vessels
US.doppler
24702-3
Thigh
MRI
26235-2
Thigh
-
bilateral
MRI
26236-0
Thigh
-
left
MRI
26237-8
Thigh
-
right
MRI
36054-5
Thoracic
outlet
CT
24582-9
Thoracic
outlet
MRI
44163-4
Thoracic
outlet
US
26211-3
Thoracic
outlet
-
bilateral
MRI
26212-1
Thoracic
outlet
-
left
MRI
26213-9
Thoracic
outlet
-
right
MRI
43507-3
Thymus
gland
MRI
42300-4
Thyroid
MRI
25010-0
Thyroid
US
37898-4
Tibia
and
Fibula
X-ray
tomograph
30888-2
Tibioperoneal
vessels
MRI
angiogram
36780-5
Toe
MRI
69285-5
Umbilical
artery
US.doppler
39508-7
Umbilical
vessels
US.doppler
36023-0
Upper
arm
CT
36025-5
Upper
arm
MRI
36026-3
Upper
arm
-
bilateral
CT
69180-8
Upper
arm
-
bilateral
MRI
36027-1
Upper
arm
-
left
CT
36028-9
Upper
arm
-
left
MRI
36029-7
Upper
arm
-
right
CT
36030-5
Upper
arm
-
right
MRI
35981-0
Upper
extremity
CT
24688-4
Upper
extremity
MRI
30710-8
Upper
extremity
US
37923-0
Upper
extremity
X-ray
tomograph
48448-5
Upper
extremity
artery
US
39447-8
Upper
extremity
artery
US.doppler
38014-7
Upper
extremity
artery
-
bilateral
US
39423-9
Upper
extremity
artery
-
bilateral
US.doppler
41833-5
Upper
extremity
artery
-
left
US
39500-4
Upper
extremity
artery
-
left
US.doppler
41814-5
Upper
extremity
artery
-
right
US
39506-1
Upper
extremity
artery
-
right
US.doppler
30882-5
Upper
extremity
vein
US.doppler
48690-2
Upper
extremity
vein
-
bilateral
US
39496-5
Upper
extremity
vein
-
bilateral
US.doppler
48689-4
Upper
extremity
vein
-
left
US
39501-2
Upper
extremity
vein
-
left
US.doppler
48688-6
Upper
extremity
vein
-
right
US
39507-9
Upper
extremity
vein
-
right
US.doppler
36080-0
Upper
extremity
veins
MRI
angiogram
69395-2
Upper
extremity
veins
US
36786-2
Upper
extremity
veins
-
left
MRI
angiogram
36787-0
Upper
extremity
veins
-
right
MRI
angiogram
46385-1
Upper
extremity
vessel
graft
US.doppler
44236-8
Upper
extremity
vessel
graft
-
bilateral
US.doppler
42475-4
Upper
extremity
vessel
graft
-
left
US.doppler
42476-2
Upper
extremity
vessel
graft
-
right
US.doppler
36084-2
Upper
extremity
vessels
MRI
angiogram
39448-6
Upper
extremity
vessels
US.doppler
46379-4
Upper
extremity
vessels
-
bilateral
US.doppler
36797-9
Upper
extremity
vessels
-
left
MRI
angiogram
39433-8
Upper
extremity
vessels
-
left
US.doppler
36798-7
Upper
extremity
vessels
-
right
MRI
angiogram
39444-5
Upper
extremity
vessels
-
right
US.doppler
26232-9
Upper
extremity
-
bilateral
MRI
30875-9
Upper
extremity
.joint
MRI
36774-8
Upper
extremity
joint
-
left
MRI
36775-5
Upper
extremity
joint
-
right
MRI
35982-8
Upper
extremity
-
left
CT
26233-7
Upper
extremity
-
left
MRI
38041-0
Upper
extremity
-
left
US
35983-6
Upper
extremity
-
right
CT
26234-5
Upper
extremity
-
right
MRI
38052-7
Upper
extremity
-
right
US
25019-1
Urinary
bladder
US
42301-2
Uterus
MRI
30705-8
Uterus
and
Fallopian
tubes
US
39036-9
Vein
US
39525-1
Vein
US.doppler
39030-2
Vein
-
bilateral
US
36783-9
Veins
MRI
angiogram
69222-8
Vena
cava
MRI
36081-8
Vena
cava
MRI
angiogram
36083-4
Inferior
vena
cava
MRI
36082-6
Inferior
vena
cava
MRI
angiogram
36790-4
Vena
cava.inferior
and
Lower
extremity
veins
MRI
angiogram
39445-2
Vessels
US.doppler
38054-3
Visceral
artery
US
37428-0
Wrist
CT
25033-2
Wrist
MRI
25036-5
Wrist
US
37932-1
Wrist
X-ray
tomograph
37430-6
Wrist
-
bilateral
CT
26277-4
Wrist
-
bilateral
MRI
26278-2
Wrist
-
bilateral
US
37429-8
Wrist
-
bilateral
X-ray
tomograph
37431-4
Wrist
-
left
CT
26279-0
Wrist
-
left
MRI
26280-8
Wrist
-
left
US
37432-2
Wrist
-
left
X-ray
tomograph
69209-5
Wrist
-
left
and
Hand
-
left
MRI
37433-0
Wrist
-
right
CT
26281-6
Wrist
-
right
MRI
26282-4
Wrist
-
right
US
37644-2
Wrist
-
right
X-ray
tomograph
69219-4
Wrist
-
right
and
Hand
-
right
MRI
36008-1
Wrist
and
Hand
MRI
25045-6
Unspecified
body
region
CT
25040-7
Unspecified
body
region
CT
3D
25056-3
Unspecified
body
region
MRI
44136-0
Unspecified
body
region
PET
25061-3
Unspecified
body
region
US
25071-2
Unspecified
body
region
X-ray
tomograph
46375-2
Artery
US
39523-6
Artery
US.doppler
44229-3
Bones
CT
28576-7
Joint
MRI
39453-6
Tendon
US
36957-9
Facial
bones
and
Maxilla
CT
and
3D
reconstruction
37294-6
Head
CT
and
3D
reconstruction
41804-6
Unspecified
body
region
CT
and
3D
reconstruction
39043-5
Unspecified
body
region
MRI
and
3D
reconstruction
44165-9
Unspecified
body
region
US
and
3D
reconstruction
58745-1
Coronary
arteries
CT
angiogram
and
3D
reconstruction
W
contrast
IV
59255-0
Left
atrium
and
Pulmonary
veins
CT
angiogram
and
3D
reconstruction
W
contrast
IV
69082-6
Head
CT
and
3D
reconstruction
WO
contrast
37295-3
Femur
and
Hip
CT
and
anteversion
measurement
72830-3
Extremity
arteries
-
bilateral
US.doppler
Multisection
and
physiologic
artery
study
72832-9
Extremity
arteries
-
bilateral
US.doppler
Multisection
and
physiologic
artery
study
at
rest
and
with
exercise
39879-2
Bone
SPECT
1
phase
39881-8
Bone
SPECT
3
phase
whole
body
30760-3
Kidney
-
bilateral
X-ray
tomograph
3
views
W
contrast
IV
25055-5
Unspecified
body
region
MRI
additional
sequence
39408-0
Spine
Thoracic
X-ray
tomograph
AP
39862-8
Heart
SPECT
blood
pool
at
rest
and
W
radionuclide
IV
47378-5
Liver
SPECT
blood
pool
37435-5
Temporomandibular
joint
MRI
cine
42693-2
Urinary
Bladder
and
Urethra
MRI
cine
39140-9
Heart
MRI
cine
for
blood
flow
velocity
mapping
44126-1
Heart
MRI
cine
for
blood
flow
velocity
mapping
W
contrast
IV
42386-3
Brain
MRI
cine
for
CSF
flow
42387-1
Unspecified
body
region
MRI
cine
for
CSF
flow
37434-8
Heart
MRI
cine
for
function
46300-0
Sinuses
CT
coronal
72139-9
Breast
-
bilateral
FFD
mammogram-tomosynthesis
diagnostic
72138-1
Breast
-
left
FFD
mammogram-tomosynthesis
diagnostic
72137-3
Breast
-
right
FFD
mammogram-tomosynthesis
diagnostic
37436-3
Brain
MRI
diffusion
weighted
43555-2
Ankle
-
left
MRI
dynamic
W
contrast
IV
43449-8
Ankle
-
right
MRI
dynamic
W
contrast
IV
37437-1
Breast
MRI
dynamic
W
contrast
IV
36114-7
Breast
-
bilateral
MRI
dynamic
W
contrast
IV
43450-6
Elbow
-
left
MRI
dynamic
W
contrast
IV
43451-4
Elbow
-
right
MRI
dynamic
W
contrast
IV
46394-3
Head
CT
dynamic
W
contrast
IV
43452-2
Knee
-
left
MRI
dynamic
W
contrast
IV
43453-0
Knee
-
right
MRI
dynamic
W
contrast
IV
37438-9
Pituitary
and
Sella
turcica
CT
dynamic
W
contrast
IV
43527-1
Unspecified
body
region
CT
dynamic
W
contrast
IV
39637-4
Brain
SPECT
flow
43655-0
Liver
SPECT
flow
43652-7
Liver
and
Spleen
SPECT
flow
69235-0
Scrotum
and
Testicle
SPECT
flow
43670-9
Spleen
SPECT
flow
43673-3
Thyroid
SPECT
flow
43662-6
Renal
vessels
SPECT
flow
W
Tc-99m
glucoheptonate
IV
39684-6
SPECT
for
abscess
W
GA-67
IV
39811-5
SPECT
for
abscess
39141-7
Bone
marrow
MRI
for
blood
flow
39656-4
Heart
SPECT
for
infarct
39654-9
Heart
SPECT
for
infarct
W
Tc-99m
PYP
IV
39655-6
Heart
SPECT
for
infarct
W
Tc-99m
Sestamibi
IV
39675-4
SPECT
for
infection
W
GA-67
IV
11525-3
US
Pelvis
and
Fetus
for
pregnancy
72251-2
Chest
vessels
CT
Multisection
for
pulmonary
embolus
24889-8
Pylorus
US
for
pyloric
stenosis
36934-8
Heart
CT
for
scoring
36935-5
Heart
CT
for
scoring
W
contrast
IV
43446-4
CT
for
tumor
whole
body
69237-6
SPECT
for
tumor
whole
body
39678-8
SPECT
for
tumor
W
GA-67
IV
39748-9
SPECT
for
tumor
W
Tc-99m
Sestamibi
IV
42292-3
SPECT
for
tumor
W
Tl-201
IV
46395-0
Heart
SPECT
gated
and
ejection
fraction
at
rest
and
W
stress
and
W
radionuclide
IV
39913-9
Heart
SPECT
gated
and
ejection
fraction
39918-8
Heart
SPECT
gated
and
wall
motion
46396-8
Heart
SPECT
gated
at
rest
and
W
Tc-99m
Sestamibi
IV
39916-2
Heart
SPECT
gated
39930-3
Heart
SPECT
gated
W
stress
and
W
radionuclide
IV
37439-7
Chest
CT
high
resolution
37440-5
Chest
CT
high
resolution
W
contrast
IV
37441-3
Chest
CT
high
resolution
WO
contrast
39409-8
Spine
Thoracic
X-ray
tomograph
lateral
36086-7
Abdomen
CT
limited
30704-1
Abdomen
US
limited
38047-7
Abdomen
retroperitoneum
US
limited
43572-7
Abdominal
vessels
US.doppler
limited
38011-3
Aorta
US
limited
69280-6
Bladder
US
limited
24599-3
Breast
US
limited
26286-5
Breast
-
bilateral
US
limited
26288-1
Breast
-
left
US
limited
26290-7
Breast
-
right
US
limited
38015-4
Carotid
artery
US
limited
42149-5
Carotid
artery
-
left
US
limited
42151-1
Carotid
artery
-
right
US
limited
36089-1
Chest
CT
limited
69281-4
Chest
US
limited
36090-9
Extremity
CT
limited
39526-9
Extremity
US
limited
46301-8
Extremity
vein
-
bilateral
US.doppler
limited
39424-7
Extremity
vessels
US.doppler
limited
62451-0
Extremity
-
left
US
limited
62452-8
Extremity
-
right
US
limited
69286-3
Eye
US
limited
36937-1
Facial
bones
and
Maxilla
CT
limited
38020-4
Gallbladder
US
limited
36087-5
Head
CT
limited
38034-5
Head
US
limited
36808-4
Head
vessels
MRI
angiogram
limited
39044-3
Head
vessels
US.doppler
limited
36091-7
Heart
MRI
limited
42707-0
Heart
US
limited
36092-5
Hip
CT
limited
43776-4
Iliac
artery
US.doppler
limited
42150-3
Iliac
graft
US.doppler
limited
36088-3
Internal
auditory
canal
MRI
limited
38035-2
Kidney
US
limited
69300-2
Kidney
transplant
US
limited
41812-9
Lower
extremity
artery
US
limited
38042-8
Lower
extremity
artery
US.doppler
limited
39430-4
Lower
extremity
vessels
-
left
US.doppler
limited
39441-1
Lower
extremity
vessels
-
right
US.doppler
limited
36093-3
Lower
Extremity
Joint
MRI
limited
38039-4
Lower
extremity
-
left
US
limited
38050-1
Lower
extremity
-
right
US
limited
44116-2
Mandible
CT
limited
48461-8
Neck
MRI
limited
69212-9
Pelvis
MRI
limited
38046-9
Pelvis
US
limited
42152-9
Pelvis
vessels
US.doppler
limited
44173-3
Peripheral
artery
US
limited
39436-1
Renal
vessels
US.doppler
limited
69299-6
Scrotum
and
Testicle
US
limited
24913-6
Sinuses
CT
limited
41813-7
Upper
extremity
artery
US
limited
38143-4
Upper
extremity
artery
US.doppler
limited
46302-6
Upper
extremity
artery
-
bilateral
US.doppler
limited
44237-6
Upper
extremity
vessel
graft
-
bilateral
US.doppler
limited
46303-4
Upper
extremity
vessels
US.doppler
limited
36094-1
Upper
extremity
.joint
MRI
limited
39045-0
Vein
US
limited
39524-4
Vein
US.doppler
limited
25039-9
Unspecified
body
region
CT
limited
48460-0
Unspecified
body
region
MRI
limited
69282-2
Unspecified
body
region
US.doppler
limited
72831-1
Extremity
arteries
-
bilateral
US.doppler
Multisection
limited
and
physiologic
artery
study
44127-9
Heart
MRI
limited
cine
the
FHIR
Specification
(v5.0.0-draft-final:
Final
QA
Preview
for
function
39046-8
Pelvis
CT
limited
pelvimetry
WO
contrast
36102-2
Abdomen
CT
limited
W
and
WO
contrast
IV
36095-8
Abdomen
CT
limited
W
contrast
IV
36096-6
Brain
MRI
limited
W
contrast
IV
69096-6
Chest
CT
limited
W
contrast
IV
36098-2
Pelvis
CT
limited
W
contrast
IV
36099-0
Spine
Cervical
CT
limited
W
contrast
IV
36100-6
Spine
Lumbar
MRI
limited
W
contrast
IV
36101-4
Spine
Thoracic
MRI
limited
W
contrast
IV
36097-4
Upper
extremity
CT
limited
W
contrast
IV
39681-2
SPECT
limited
W
GA-67
IV
39813-1
Bone
SPECT
limited
39821-4
Bone
marrow
SPECT
limited
36103-0
Abdomen
CT
limited
WO
contrast
36105-5
Brain
MRI
limited
WO
contrast
47366-0
Chest
CT
limited
WO
contrast
36938-9
Facial
bones
and
Maxilla
CT
limited
WO
contrast
36104-8
Head
CT
limited
WO
contrast
36106-3
Lower
extremity
CT
limited
WO
contrast
36107-1
Lower
extremity
joint
-
left
MRI
limited
WO
contrast
38769-6
Lower
extremity
joint
-
right
MRI
limited
WO
contrast
36108-9
Pelvis
CT
limited
WO
contrast
46304-2
Sinuses
CT
limited
WO
contrast
36109-7
Spine
Cervical
CT
limited
WO
contrast
36110-5
Spine
Lumbar
CT
limited
WO
contrast
36111-3
Spine
Lumbar
MRI
limited
WO
contrast
36112-1
Spine
Thoracic
MRI
limited
WO
contrast
39905-5
Bone
SPECT
multiple
areas
39906-3
Bone
marrow
SPECT
multiple
areas
39527-7
Unspecified
body
region
US
of
foreign
body
49569-7
Heart
SPECT
perfusion
and
wall
motion
at
rest
and
W
stress
and
W
Tl-201
IV
and
W
Tc-99m
Sestamibi
IV
43659-2
Heart
SPECT
perfusion
qualitative
at
rest
and
W
radionuclide
IV
39725-7
Heart
SPECT
perfusion
at
rest
and
W
adenosine
and
W
Tl-201
IV
39718-2
Heart
SPECT
perfusion
at
rest
and
W
radionuclide
IV
39724-0
Heart
SPECT
perfusion
at
rest
and
W
stress
and
W
radionuclide
IV
39723-2
Heart
SPECT
perfusion
at
rest
and
W
stress
and
W
Tl-201
IV
49568-9
Heart
SPECT
perfusion
at
rest
and
W
stress
and
W
Tl-201
IV
and
W
Tc-99m
Sestamibi
IV
39729-9
Heart
SPECT
perfusion
at
rest
and
W
Tl-201
IV
39700-0
Heart
SPECT
perfusion
W
adenosine
and
W
radionuclide
IV
49567-1
Heart
SPECT
perfusion
W
adenosine
and
W
Tc-99m
Sestamibi
IV
39142-5
Head
CT
perfusion
W
contrast
IV
39712-5
Heart
SPECT
perfusion
39734-9
Heart
SPECT
perfusion
W
stress
and
W
radionuclide
IV
39736-4
Heart
SPECT
perfusion
W
stress
and
W
Tc-99m
Sestamibi
IV
39710-9
Heart
SPECT
perfusion
W
Tc-99m
Sestamibi
IV
39711-7
Heart
SPECT
perfusion
W
Tl-201
IV
38060-0
Spine.lumbosacral+Cervical+Thoracic
MRI
sagittal
25052-2
Unspecified
body
region
CT
sagittal
and
coronal
25050-6
Unspecified
body
region
CT
3D
sagittal
and
coronal
disarticulation
42132-1
Breast
US
screening
72142-3
Breast
-
bilateral
FFD
mammogram-tomosynthesis
screening
72141-5
Breast
-
left
FFD
mammogram-tomosynthesis
screening
72140-7
Breast
-
right
FFD
mammogram-tomosynthesis
screening
37442-1
Brain
MRI
spectroscopy
37443-9
Unspecified
body
region
MRI
spectroscopy
36939-7
Spine
CT
stereotactic
70929-5
Spine
Cervical
CT
stereotactic
70928-7
Spine
Lumbar
CT
stereotactic
70930-3
Spine
Thoracic
CT
stereotactic
36940-5
Unspecified
body
region
CT
stereotactic
42455-6
Pelvis
US
transabdominal
and
transvaginal
24677-7
Pelvis
US
transvaginal
42390-5
Transvaginal
MRI
39838-8
Lung
SPECT
ventilation
and
perfusion
W
radionuclide
inhaled
and
W
radionuclide
IV
39898-2
Lung
SPECT
ventilation
W
radionuclide
aerosol
inhaled
39872-7
Heart
SPECT
wall
motion
46305-9
CT
whole
body
46358-8
MRI
whole
body
44139-4
PET
whole
body
46306-7
CT
whole
body
W
contrast
IV
39680-4
SPECT
whole
body
W
GA-67
IV
39816-4
Bone
SPECT
whole
body
39825-5
Bone
marrow
SPECT
whole
body
41837-6
SPECT
whole
body
W
Tc-99m
Arcitumomab
IV
39658-0
Heart
SPECT
at
rest
and
W
radionuclide
IV
39662-2
Heart
SPECT
at
rest
and
W
stress
and
W
Tc-99m
Sestamibi
IV
49566-3
Heart
SPECT
at
rest
and
W
Tc-99m
Sestamibi
IV
30711-6
Hip
US
developmental
joint
assessment
24732-0
Head
US
during
surgery
30706-6
Liver
US
during
surgery
30701-7
Unspecified
body
region
US
during
surgery
69388-7
Urinary
bladder
US
post
void
69086-7
Aorta
CT
W
and
WO
contrast
69108-9
Pulmonary
vessels
CT
angiogram
W
and
WO
contrast
69085-9
Renal
vessels
CT
angiogram
W
and
WO
contrast
69207-9
Hip
-
left
MRI
W
and
WO
contrast
intraarticular
69217-8
Hip
-
right
MRI
W
and
WO
contrast
intraarticular
69208-7
Shoulder
-
left
MRI
W
and
WO
contrast
intraarticular
69218-6
Shoulder
-
right
MRI
W
and
WO
contrast
intraarticular
48442-8
Spine
CT
W
and
WO
contrast
IT
48450-1
Spine
Cervical
MRI
W
and
WO
contrast
IT
44114-7
Spine
Lumbar
CT
W
and
WO
contrast
IT
48452-7
Spine
Lumbar
MRI
W
and
WO
contrast
IT
44113-9
Spine
Thoracic
CT
W
and
WO
contrast
IT
48441-0
Spine
Thoracic
MRI
W
and
WO
contrast
IT
36267-3
Abdomen
CT
W
and
WO
contrast
IV
24557-1
Abdomen
MRI
W
and
WO
contrast
IV
48743-9
Abdomen
retroperitoneum
CT
W
and
WO
contrast
IV
42274-1
Abdomen
and
Pelvis
CT
W
and
WO
contrast
IV
36846-4
Abdominal
veins
MRI
angiogram
W
and
WO
contrast
IV
30805-6
Abdominal
vessels
CT
angiogram
W
and
WO
contrast
IV
36855-5
Abdominal
vessels
MRI
angiogram
W
and
WO
contrast
IV
36950-4
Adrenal
gland
CT
W
and
WO
contrast
IV
36951-2
Adrenal
gland
MRI
W
and
WO
contrast
IV
36268-1
Ankle
CT
W
and
WO
contrast
IV
24539-9
Ankle
MRI
W
and
WO
contrast
IV
26187-5
Ankle
-
bilateral
MRI
W
and
WO
contrast
IV
36269-9
Ankle
-
left
CT
W
and
WO
contrast
IV
26188-3
Ankle
-
left
MRI
W
and
WO
contrast
IV
36270-7
Ankle
-
right
CT
W
and
WO
contrast
IV
26189-1
Ankle
-
right
MRI
W
and
WO
contrast
IV
44131-1
Aorta
MRI
angiogram
W
and
WO
contrast
IV
36271-5
Aorta
abdominal
CT
W
and
WO
contrast
IV
36273-1
Aorta
abdominal
MRI
W
and
WO
contrast
IV
36272-3
Aorta
abdominal
MRI
angiogram
W
and
WO
contrast
IV
36274-9
Aorta
thoracic
MRI
angiogram
W
and
WO
contrast
IV
30806-4
Aorta
and
Femoral
artery
-
bilateral
CT
angiogram
W
and
WO
contrast
IV
46360-4
Aortic
arch
MRI
angiogram
W
and
WO
contrast
IV
43509-9
Axilla
-
left
MRI
W
and
WO
contrast
IV
43511-5
Axilla
-
right
MRI
W
and
WO
contrast
IV
36944-7
Biliary
ducts
and
Pancreatic
duct
MRI
W
and
WO
contrast
IV
24587-8
Brain
MRI
W
and
WO
contrast
IV
48694-4
Brain.temporal
MRI
W
and
WO
contrast
IV
43769-9
Brain
and
Internal
auditory
canal
MRI
W
and
WO
contrast
IV
42392-1
Brain
and
Pituitary
and
Sella
turcica
MRI
W
and
WO
contrast
IV
36276-4
Breast
MRI
W
and
WO
contrast
IV
69189-9
Breast
implant
MRI
W
and
WO
contrast
IV
69166-7
Breast
implant
-
bilateral
MRI
W
and
WO
contrast
IV
38870-2
Breast
implant
-
left
MRI
W
and
WO
contrast
IV
38062-6
Breast
implant
-
right
MRI
W
and
WO
contrast
IV
36277-2
Breast
-
bilateral
MRI
W
and
WO
contrast
IV
36278-0
Breast
-
left
MRI
W
and
WO
contrast
IV
36279-8
Breast
-
right
MRI
W
and
WO
contrast
IV
43528-9
Breast
-
unilateral
MRI
W
and
WO
contrast
IV
36358-0
Calcaneus
CT
W
and
WO
contrast
IV
36280-6
Calcaneus
-
left
CT
W
and
WO
contrast
IV
36281-4
Calcaneus
-
right
CT
W
and
WO
contrast
IV
36856-3
Carotid
vessel
MRI
angiogram
W
and
WO
contrast
IV
30598-7
Chest
CT
W
and
WO
contrast
IV
36283-0
Chest
MRI
W
and
WO
contrast
IV
36848-0
Chest
veins
MRI
angiogram
W
and
WO
contrast
IV
30804-9
Chest
vessels
CT
angiogram
W
and
WO
contrast
IV
36420-8
Chest
vessels
MRI
angiogram
W
and
WO
contrast
IV
42277-4
Chest
and
Abdomen
CT
W
and
WO
contrast
IV
36284-8
Chest
and
Abdomen
MRI
W
and
WO
contrast
IV
72252-0
Chest
and
Abdomen
and
Pelvis
CT
W
and
WO
contrast
IV
69161-8
Circle
of
Willis
MRI
angiogram
W
and
WO
contrast
IV
42299-8
Clavicle
MRI
W
and
WO
contrast
IV
48455-0
Clavicle
-
left
MRI
W
and
WO
contrast
IV
48454-3
Clavicle
-
right
MRI
W
and
WO
contrast
IV
36285-5
Elbow
CT
W
and
WO
contrast
IV
24675-1
Elbow
MRI
W
and
WO
contrast
IV
26193-3
Elbow
-
bilateral
MRI
W
and
WO
contrast
IV
36286-3
Elbow
-
left
CT
W
and
WO
contrast
IV
26194-1
Elbow
-
left
MRI
W
and
WO
contrast
IV
36287-1
Elbow
-
right
CT
W
and
WO
contrast
IV
26195-8
Elbow
-
right
MRI
W
and
WO
contrast
IV
42268-3
Extremity
CT
W
and
WO
contrast
IV
24694-2
Face
MRI
W
and
WO
contrast
IV
30803-1
Facial
bones
and
Maxilla
CT
W
and
WO
contrast
IV
36338-2
Femur
CT
W
and
WO
contrast
IV
36339-0
Femur
-
left
CT
W
and
WO
contrast
IV
36340-8
Femur
-
right
CT
W
and
WO
contrast
IV
69194-9
Finger
MRI
W
and
WO
contrast
IV
69204-6
Finger
-
left
MRI
W
and
WO
contrast
IV
69214-5
Finger
-
right
MRI
W
and
WO
contrast
IV
36341-6
Foot
CT
W
and
WO
contrast
IV
30682-9
Foot
MRI
W
and
WO
contrast
IV
36342-4
Foot
-
bilateral
MRI
W
and
WO
contrast
IV
36343-2
Foot
-
left
CT
W
and
WO
contrast
IV
36344-0
Foot
-
left
MRI
W
and
WO
contrast
IV
36345-7
Foot
-
right
CT
W
and
WO
contrast
IV
36346-5
Foot
-
right
MRI
W
and
WO
contrast
IV
36347-3
Forearm
CT
W
and
WO
contrast
IV
30684-5
Forearm
MRI
W
and
WO
contrast
IV
69174-1
Forearm
-
bilateral
MRI
W
and
WO
contrast
IV
36348-1
Forearm
-
left
CT
W
and
WO
contrast
IV
36349-9
Forearm
-
left
MRI
W
and
WO
contrast
IV
36350-7
Forearm
-
right
CT
W
and
WO
contrast
IV
36351-5
Forearm
-
right
MRI
W
and
WO
contrast
IV
36352-3
Hand
CT
W
and
WO
contrast
IV
30686-0
Hand
MRI
W
and
WO
contrast
IV
69177-4
Hand
-
bilateral
MRI
W
and
WO
contrast
IV
36353-1
Hand
-
left
CT
W
and
WO
contrast
IV
36354-9
Hand
-
left
MRI
W
and
WO
contrast
IV
36355-6
Hand
-
right
CT
W
and
WO
contrast
IV
36356-4
Hand
-
right
MRI
W
and
WO
contrast
IV
24726-2
Head
CT
W
and
WO
contrast
IV
24729-6
Head
CT
cine
W
and
WO
contrast
IV
36847-2
Head
veins
MRI
angiogram
W
and
WO
contrast
IV
30593-8
Head
vessels
CT
angiogram
W
and
WO
contrast
IV
36857-1
Head
vessels
MRI
angiogram
W
and
WO
contrast
IV
36357-2
Heart
MRI
W
and
WO
contrast
IV
36359-8
Hip
CT
W
and
WO
contrast
IV
30688-6
Hip
MRI
W
and
WO
contrast
IV
36360-6
Hip
-
bilateral
CT
W
and
WO
contrast
IV
36361-4
Hip
-
bilateral
MRI
W
and
WO
contrast
IV
36362-2
Hip
-
left
CT
W
and
WO
contrast
IV
36363-0
Hip
-
left
MRI
W
and
WO
contrast
IV
36364-8
Hip
-
right
CT
W
and
WO
contrast
IV
36365-5
Hip
-
right
MRI
W
and
WO
contrast
IV
36282-2
Internal
auditory
canal
CT
W
and
WO
contrast
IV
30659-7
Internal
auditory
canal
MRI
W
and
WO
contrast
IV
24740-3
Internal
auditory
canal
and
Posterior
fossa
MRI
W
and
WO
contrast
IV
43768-1
Kidney
CT
W
and
WO
contrast
IV
43775-6
Kidney
MRI
W
and
WO
contrast
IV
36377-0
Kidney
-
bilateral
CT
W
and
WO
contrast
IV
36378-8
Kidney
-
bilateral
MRI
W
and
WO
contrast
IV
24784-1
Kidney
-
bilateral
X-ray
tomograph
W
and
WO
contrast
IV
36379-6
Knee
CT
W
and
WO
contrast
IV
24803-9
Knee
MRI
W
and
WO
contrast
IV
38837-1
Knee
vessels
-
left
MRI
angiogram
W
and
WO
contrast
IV
36862-1
Knee
vessels
-
right
MRI
angiogram
W
and
WO
contrast
IV
26199-0
Knee
-
bilateral
MRI
W
and
WO
contrast
IV
36380-4
Knee
-
left
CT
W
and
WO
contrast
IV
26200-6
Knee
-
left
MRI
W
and
WO
contrast
IV
36381-2
Knee
-
right
CT
W
and
WO
contrast
IV
26201-4
Knee
-
right
MRI
W
and
WO
contrast
IV
36382-0
Larynx
MRI
W
and
WO
contrast
IV
30612-6
Liver
CT
W
and
WO
contrast
IV
30670-4
Liver
MRI
W
and
WO
contrast
IV
36288-9
Lower
extremity
CT
W
and
WO
contrast
IV
39291-0
Lower
extremity
MRI
W
and
WO
contrast
IV
36416-6
Lower
extremity
veins
MRI
angiogram
W
and
WO
contrast
IV
36849-8
Lower
extremity
veins
-
left
MRI
angiogram
W
and
WO
contrast
IV
36850-6
Lower
extremity
veins
-
right
MRI
angiogram
W
and
WO
contrast
IV
30807-2
Lower
extremity
vessels
CT
angiogram
W
and
WO
contrast
IV
44128-7
Lower
extremity
vessels
MRI
angiogram
W
and
WO
contrast
IV
46308-3
Lower
extremity
vessels
-
left
CT
angiogram
W
and
WO
contrast
IV
36858-9
Lower
extremity
vessels
-
left
MRI
angiogram
W
and
WO
contrast
IV
46307-5
Lower
extremity
vessels
-
right
CT
angiogram
W
and
WO
contrast
IV
36859-7
Lower
extremity
vessels
-
right
MRI
angiogram
W
and
WO
contrast
IV
36289-7
Lower
extremity
-
bilateral
MRI
W
and
WO
contrast
IV
36371-3
Lower
Extremity
Joint
MRI
W
and
WO
contrast
IV
36372-1
Lower
extremity
joint
-
left
MRI
W
and
WO
contrast
IV
36373-9
Lower
extremity
joint
-
right
MRI
W
and
WO
contrast
IV
36290-5
Lower
extremity
-
left
CT
W
and
WO
contrast
IV
36291-3
Lower
extremity
-
left
MRI
W
and
WO
contrast
IV
36292-1
Lower
extremity
-
right
CT
W
and
WO
contrast
IV
36333-3
Lower
extremity
-
right
MRI
W
and
WO
contrast
IV
36408-3
Lower
leg
CT
W
and
WO
contrast
IV
30870-0
Lower
leg
MRI
W
and
WO
contrast
IV
42697-3
Lower
leg
-
bilateral
MRI
W
and
WO
contrast
IV
36409-1
Lower
leg
-
left
CT
W
and
WO
contrast
IV
36410-9
Lower
leg
-
left
MRI
W
and
WO
contrast
IV
36411-7
Lower
leg
-
right
CT
W
and
WO
contrast
IV
36412-5
Lower
leg
-
right
MRI
W
and
WO
contrast
IV
36383-8
Mandible
CT
W
and
WO
contrast
IV
37272-2
Mediastinum
MRI
W
and
WO
contrast
IV
48443-6
Nasopharynx
CT
W
and
WO
contrast
IV
36384-6
Nasopharynx
MRI
W
and
WO
contrast
IV
30586-2
Neck
CT
W
and
WO
contrast
IV
24840-1
Neck
MRI
W
and
WO
contrast
IV
36853-0
Neck
veins
MRI
angiogram
W
and
WO
contrast
IV
30594-6
Neck
vessels
CT
angiogram
W
and
WO
contrast
IV
36423-2
Neck
vessels
MRI
angiogram
W
and
WO
contrast
IV
48451-9
Orbit
CT
W
and
WO
contrast
IV
36842-3
Orbit
MRI
W
and
WO
contrast
IV
43458-9
Orbit
vessels
MRI
angiogram
W
and
WO
contrast
IV
24849-2
Orbit
-
bilateral
CT
W
and
WO
contrast
IV
24851-8
Orbit
-
bilateral
MRI
W
and
WO
contrast
IV
36843-1
Orbit
-
left
MRI
W
and
WO
contrast
IV
36844-9
Orbit
-
right
MRI
W
and
WO
contrast
IV
39029-4
Orbit
and
Face
MRI
W
and
WO
contrast
IV
46310-9
Orbit
and
Face
and
Neck
MRI
W
and
WO
contrast
IV
36845-6
Ovary
MRI
W
and
WO
contrast
IV
30614-2
Pancreas
CT
W
and
WO
contrast
IV
36385-3
Pancreas
MRI
W
and
WO
contrast
IV
46311-7
Parotid
gland
CT
W
and
WO
contrast
IV
37265-6
Parotid
gland
MRI
W
and
WO
contrast
IV
30616-7
Pelvis
CT
W
and
WO
contrast
IV
30674-6
Pelvis
MRI
W
and
WO
contrast
IV
36854-8
Pelvis
veins
MRI
angiogram
W
and
WO
contrast
IV
30623-3
Pelvis
vessels
CT
angiogram
W
and
WO
contrast
IV
36863-9
Pelvis
vessels
MRI
angiogram
W
and
WO
contrast
IV
30672-0
Pelvis
and
Hip
MRI
W
and
WO
contrast
IV
36835-7
Petrous
bone
CT
W
and
WO
contrast
IV
24904-5
Pituitary
and
Sella
turcica
CT
W
and
WO
contrast
IV
24879-9
Pituitary
and
Sella
turcica
MRI
W
and
WO
contrast
IV
36414-1
Portal
vein
MRI
angiogram
W
and
WO
contrast
IV
36387-9
Posterior
fossa
CT
W
and
WO
contrast
IV
36388-7
Posterior
fossa
MRI
W
and
WO
contrast
IV
36389-5
Prostate
MRI
W
and
WO
contrast
IV
36275-6
Renal
artery
MRI
angiogram
W
and
WO
contrast
IV
36415-8
Renal
vein
MRI
angiogram
W
and
WO
contrast
IV
44134-5
Renal
vessels
MRI
angiogram
W
and
WO
contrast
IV
36375-4
Sacroiliac
Joint
CT
W
and
WO
contrast
IV
36376-2
Sacroiliac
Joint
MRI
W
and
WO
contrast
IV
36390-3
Sacrum
CT
W
and
WO
contrast
IV
36391-1
Sacrum
MRI
W
and
WO
contrast
IV
36392-9
Sacrum
and
Coccyx
MRI
W
and
WO
contrast
IV
36393-7
Scapula
-
left
MRI
W
and
WO
contrast
IV
36394-5
Scapula
-
right
MRI
W
and
WO
contrast
IV
36406-7
Scrotum
and
Testicle
MRI
W
and
WO
contrast
IV
36395-2
Shoulder
CT
W
and
WO
contrast
IV
24906-0
Shoulder
MRI
W
and
WO
contrast
IV
36864-7
Shoulder
vessels
-
left
MRI
angiogram
W
and
WO
contrast
IV
36865-4
Shoulder
vessels
-
right
MRI
angiogram
W
and
WO
contrast
IV
26202-2
Shoulder
-
bilateral
MRI
W
and
WO
contrast
IV
36396-0
Shoulder
-
left
CT
W
and
WO
contrast
IV
26203-0
Shoulder
-
left
MRI
W
and
WO
contrast
IV
36397-8
Shoulder
-
right
CT
W
and
WO
contrast
IV
26204-8
Shoulder
-
right
MRI
W
and
WO
contrast
IV
36398-6
Sinuses
CT
W
and
WO
contrast
IV
30663-9
Sinuses
MRI
W
and
WO
contrast
IV
44111-3
Skull.base
CT
W
and
WO
contrast
IV
69220-2
Skull.base
MRI
W
and
WO
contrast
IV
37277-1
Spinal
vein
MRI
angiogram
W
and
WO
contrast
IV
36399-4
Spine
CT
W
and
WO
contrast
IV
36400-0
Spine
MRI
W
and
WO
contrast
IV
37505-5
Spine
vessels
MRI
angiogram
W
and
WO
contrast
IV
36401-8
Spine
Cervical
CT
W
and
WO
contrast
IV
24937-5
Spine
Cervical
MRI
W
and
WO
contrast
IV
37506-3
Cervical
Spine
vessels
MRI
angiogram
W
and
WO
contrast
IV
43456-3
Spine
Cervical
and
Spine
Thoracic
MRI
W
and
WO
contrast
IV
30855-1
Spine
Cervical
and
Thoracic
and
Lumbar
MRI
W
and
WO
contrast
IV
36402-6
Spine
Lumbar
CT
W
and
WO
contrast
IV
24967-2
Spine
Lumbar
MRI
W
and
WO
contrast
IV
37507-1
Lumbar
Spine
vessels
MRI
angiogram
W
and
WO
contrast
IV
36403-4
Spine
Thoracic
CT
W
and
WO
contrast
IV
24981-3
Spine
Thoracic
MRI
W
and
WO
contrast
IV
37508-9
Thoracic
Spine
vessels
MRI
angiogram
W
and
WO
contrast
IV
24989-6
Spleen
CT
W
and
WO
contrast
IV
36404-2
Spleen
MRI
W
and
WO
contrast
IV
37266-4
Sternoclavicular
Joint
CT
W
and
WO
contrast
IV
36405-9
Sternum
CT
W
and
WO
contrast
IV
44231-9
Superior
mesenteric
vessels
MRI
angiogram
W
and
WO
contrast
IV
36837-3
Temporal
bone
CT
W
and
WO
contrast
IV
37267-2
Temporomandibular
joint
CT
W
and
WO
contrast
IV
37268-0
Temporomandibular
joint
MRI
W
and
WO
contrast
IV
37269-8
Temporomandibular
joint
-
bilateral
MRI
W
and
WO
contrast
IV
37270-6
Temporomandibular
joint
-
left
MRI
W
and
WO
contrast
IV
37271-4
Temporomandibular
joint
-
right
MRI
W
and
WO
contrast
IV
24703-1
Thigh
MRI
W
and
WO
contrast
IV
26196-6
Thigh
-
bilateral
MRI
W
and
WO
contrast
IV
26197-4
Thigh
-
left
MRI
W
and
WO
contrast
IV
26198-2
Thigh
-
right
MRI
W
and
WO
contrast
IV
24583-7
Thoracic
outlet
MRI
W
and
WO
contrast
IV
26190-9
Thoracic
outlet
-
bilateral
MRI
W
and
WO
contrast
IV
26191-7
Thoracic
outlet
-
left
MRI
W
and
WO
contrast
IV
26192-5
Thoracic
outlet
-
right
MRI
W
and
WO
contrast
IV
36407-5
Thyroid
MRI
W
and
WO
contrast
IV
72241-3
Toes
-
left
MRI
W
and
WO
contrast
IV
72238-9
Toes
-
right
MRI
W
and
WO
contrast
IV
36366-3
Upper
arm
CT
W
and
WO
contrast
IV
30690-2
Upper
arm
MRI
W
and
WO
contrast
IV
69181-6
Upper
arm
-
bilateral
MRI
W
and
WO
contrast
IV
36367-1
Upper
arm
-
left
CT
W
and
WO
contrast
IV
36368-9
Upper
arm
-
left
MRI
W
and
WO
contrast
IV
36369-7
Upper
arm
-
right
CT
W
and
WO
contrast
IV
36370-5
Upper
arm
-
right
MRI
W
and
WO
contrast
IV
36334-1
Upper
extremity
CT
W
and
WO
contrast
IV
39034-4
Upper
extremity
MRI
W
and
WO
contrast
IV
36417-4
Upper
extremity
veins
MRI
angiogram
W
and
WO
contrast
IV
36851-4
Upper
extremity
veins
-
left
MRI
angiogram
W
and
WO
contrast
IV
36852-2
Upper
extremity
veins
-
right
MRI
angiogram
W
and
WO
contrast
IV
36421-6
Upper
extremity
vessels
CT
angiogram
W
and
WO
contrast
IV
36422-4
Upper
extremity
vessels
MRI
angiogram
W
and
WO
contrast
IV
46312-5
Upper
extremity
vessels
-
left
CT
angiogram
W
and
WO
contrast
IV
36860-5
Upper
extremity
vessels
-
left
MRI
angiogram
W
and
WO
contrast
IV
46309-1
Upper
extremity
vessels
-
right
CT
angiogram
W
and
WO
contrast
IV
36861-3
Upper
extremity
vessels
-
right
MRI
angiogram
W
and
WO
contrast
IV
69186-5
Upper
extremity
-
bilateral
MRI
W
and
WO
contrast
IV
36374-7
Upper
extremity
.joint
MRI
W
and
WO
contrast
IV
36840-7
Upper
extremity
joint
-
left
MRI
W
and
WO
contrast
IV
36841-5
Upper
extremity
joint
-
right
MRI
W
and
WO
contrast
IV
36335-8
Upper
extremity
-
left
CT
W
and
WO
contrast
IV
38831-4
Upper
extremity
-
left
MRI
W
and
WO
contrast
IV
36336-6
Upper
extremity
-
right
CT
W
and
WO
contrast
IV
36337-4
Upper
extremity
-
right
MRI
W
and
WO
contrast
IV
36413-3
Uterus
MRI
W
and
WO
contrast
IV
36418-2
Inferior
vena
cava
MRI
W
and
WO
contrast
IV
36419-0
Superior
vena
cava
MRI
W
and
WO
contrast
IV
37457-9
Wrist
CT
W
and
WO
contrast
IV
25035-7
Wrist
MRI
W
and
WO
contrast
IV
26205-5
Wrist
-
bilateral
MRI
W
and
WO
contrast
IV
37458-7
Wrist
-
left
CT
W
and
WO
contrast
IV
26206-3
Wrist
-
left
MRI
W
and
WO
contrast
IV
38802-5
Wrist
-
right
CT
W
and
WO
contrast
IV
26207-1
Wrist
-
right
MRI
W
and
WO
contrast
IV
42298-0
Unspecified
body
region
MRI
W
and
WO
contrast
IV
24588-6
Brain
MRI
W
and
WO
contrast
IV
and
W
anesthesia
72244-7
Pelvis
MRI
W
and
WO
contrast
IV
and
W
endorectal
coil
43448-0
Liver
MRI
W
and
WO
ferumoxides
IV
46318-2
Abdomen
CT
W
and
WO
reduced
contrast
volume
IV
46317-4
Chest
CT
W
and
WO
reduced
contrast
volume
IV
46315-8
Facial
bones
and
Maxilla
CT
W
and
WO
reduced
contrast
volume
IV
46316-6
Head
CT
W
and
WO
reduced
contrast
volume
IV
46314-1
Internal
auditory
canal
CT
W
and
WO
reduced
contrast
volume
IV
46313-3
Pelvis
CT
W
and
WO
reduced
contrast
volume
IV
60515-4
Rectum
and
Colon
CT
3D
W
air
contrast
PR
24586-0
Brain
MRI
W
anesthesia
24936-7
Spine
Cervical
MRI
W
anesthesia
24977-1
Spine
Lumbar
MRI
W
anesthesia
25046-4
Unspecified
body
region
CT
W
anesthesia
38022-0
Gallbladder
US
W
cholecystokinin
25047-2
Unspecified
body
region
CT
W
conscious
sedation
25057-1
Unspecified
body
region
MRI
W
conscious
sedation
30599-5
Abdomen
CT
W
contrast
24567-0
Abdomen
retroperitoneum
CT
W
contrast
38055-0
Unspecified
body
region
US
W
contrast
36809-2
Hepatic
artery
CT
angiogram
W
contrast
IA
69162-6
Pulmonary
artery
-
bilateral
MRI
angiogram
W
contrast
IA
69238-4
Urinary
Bladder
and
Urethra
SPECT
W
contrast
intra
bladder
during
voiding
30853-6
Breast
duct
US
W
contrast
intra
duct
36941-3
Salivary
gland
CT
W
contrast
intra
salivary
duct
37237-5
Sinus
tract
CT
W
contrast
intra
sinus
tract
36115-4
Ankle
MRI
W
contrast
intraarticular
69102-2
Ankle
-
left
CT
W
contrast
intraarticular
36116-2
Ankle
-
left
MRI
W
contrast
intraarticular
69109-7
Ankle
-
right
CT
W
contrast
intraarticular
36117-0
Ankle
-
right
MRI
W
contrast
intraarticular
46319-0
Elbow
MRI
W
contrast
intraarticular
69103-0
Elbow
-
left
CT
W
contrast
intraarticular
36118-8
Elbow
-
left
MRI
W
contrast
intraarticular
69110-5
Elbow
-
right
CT
W
contrast
intraarticular
36119-6
Elbow
-
right
MRI
W
contrast
intraarticular
36120-4
Hip
MRI
W
contrast
intraarticular
69105-5
Hip
-
left
CT
W
contrast
intraarticular
36121-2
Hip
-
left
MRI
W
contrast
intraarticular
69112-1
Hip
-
right
CT
W
contrast
intraarticular
36122-0
Hip
-
right
MRI
W
contrast
intraarticular
36124-6
Knee
CT
W
contrast
intraarticular
36125-3
Knee
MRI
W
contrast
intraarticular
69106-3
Knee
-
left
CT
W
contrast
intraarticular
36126-1
Knee
-
left
MRI
W
contrast
intraarticular
69114-7
Knee
-
right
CT
W
contrast
intraarticular
36127-9
Knee
-
right
MRI
W
contrast
intraarticular
37238-3
Lower
Extremity
Joint
CT
W
contrast
intraarticular
69210-3
Lower
Extremity
Joint
MRI
W
contrast
intraarticular
36123-8
Sacroiliac
Joint
CT
W
contrast
intraarticular
36128-7
Shoulder
CT
W
contrast
intraarticular
36129-5
Shoulder
MRI
W
contrast
intraarticular
38828-0
Shoulder
-
left
CT
W
contrast
intraarticular
36130-3
Shoulder
-
left
MRI
W
contrast
intraarticular
36131-1
Shoulder
-
right
CT
W
contrast
intraarticular
36132-9
Shoulder
-
right
MRI
W
contrast
intraarticular
36810-0
Upper
Joint
CT
W
contrast
intraarticular
37444-7
Wrist
MRI
W
contrast
intraarticular
69107-1
Wrist
-
left
CT
W
contrast
intraarticular
37445-4
Wrist
-
left
MRI
W
contrast
intraarticular
69115-4
Wrist
-
right
CT
W
contrast
intraarticular
37446-2
Wrist
-
right
MRI
W
contrast
intraarticular
36811-8
Joint
CT
W
contrast
intraarticular
36812-6
Joint
MRI
W
contrast
intraarticular
39322-3
Spine
CT
W
contrast
intradisc
37496-7
Spine
Cervical
CT
W
contrast
intradisc
37509-7
Spine
Lumbar
CT
W
contrast
intradisc
70931-1
Spine
Thoracic
CT
W
contrast
intradisc
24734-6
Head
Cistern
CT
W
contrast
IT
47985-7
Spine
CT
W
contrast
IT
24934-2
Spine
Cervical
CT
W
contrast
IT
48447-7
Spine
Cervical
MRI
W
contrast
IT
24965-6
Spine
Lumbar
CT
W
contrast
IT
48436-0
Spine
Lumbar
MRI
W
contrast
IT
30596-1
Spine
Thoracic
CT
W
contrast
IT
48439-4
Spine
Thoracic
MRI
W
contrast
IT
36134-5
Abdomen
MRI
W
contrast
IV
36813-4
Abdomen
and
Pelvis
CT
W
contrast
IV
36828-2
Abdominal
vessels
CT
angiogram
W
contrast
IV
24533-2
Abdominal
vessels
MRI
angiogram
W
contrast
IV
69908-2
Abdominal
vessels
and
Pelvis
vessels
CT
angiogram
W
contrast
IV
36943-9
Adrenal
gland
CT
W
contrast
IV
44124-6
Adrenal
gland
MRI
W
contrast
IV
36135-2
Ankle
CT
W
contrast
IV
36136-0
Ankle
MRI
W
contrast
IV
69163-4
Ankle
-
bilateral
MRI
W
contrast
IV
36137-8
Ankle
-
left
CT
W
contrast
IV
36138-6
Ankle
-
left
MRI
W
contrast
IV
36139-4
Ankle
-
right
CT
W
contrast
IV
36140-2
Ankle
-
right
MRI
W
contrast
IV
36142-8
Aorta
CT
W
contrast
IV
36141-0
Aorta
CT
angiogram
W
contrast
IV
36143-6
Aorta
abdominal
CT
W
contrast
IV
24545-6
Aorta
thoracic
CT
W
contrast
IV
72255-3
Aorta
and
Femoral
artery
-
bilateral
CT
angiogram
W
contrast
IV
43503-2
Aorta
and
Lower
extremity
vessels
CT
angiogram
W
contrast
IV
36144-4
Aortic
arch
CT
angiogram
W
contrast
IV
37499-1
Aortic
stent
CT
angiogram
W
contrast
IV
36145-1
Appendix
CT
W
contrast
IV
43504-0
Axilla
-
left
MRI
W
contrast
IV
43505-7
Axilla
-
right
MRI
W
contrast
IV
44125-3
Biliary
ducts
and
Pancreatic
duct
MRI
W
contrast
IV
69095-8
Bladder
CT
W
contrast
IV
24589-4
Brain
MRI
W
contrast
IV
48444-4
Brain.temporal
MRI
W
contrast
IV
37239-1
Brain
and
Internal
auditory
canal
MRI
W
contrast
IV
37215-1
Brain
and
Larynx
MRI
W
contrast
IV
42391-3
Brain
and
Pituitary
and
Sella
turcica
MRI
W
contrast
IV
36149-3
Breast
MRI
W
contrast
IV
69190-7
Breast
implant
MRI
W
contrast
IV
69167-5
Breast
implant
-
bilateral
MRI
W
contrast
IV
36150-1
Breast
-
bilateral
MRI
W
contrast
IV
36151-9
Breast
-
left
MRI
W
contrast
IV
36152-7
Breast
-
right
MRI
W
contrast
IV
46323-2
Breast
-
unilateral
MRI
W
contrast
IV
36198-0
Calcaneus
CT
W
contrast
IV
36153-5
Calcaneus
-
left
CT
W
contrast
IV
36154-3
Calcaneus
-
right
CT
W
contrast
IV
36146-9
Carotid
artery
CT
angiogram
W
contrast
IV
36829-0
Carotid
vessel
MRI
angiogram
W
contrast
IV
24628-0
Chest
CT
W
contrast
IV
36156-8
Chest
MRI
W
contrast
IV
36266-5
Chest
vessels
CT
angiogram
W
contrast
IV
24659-5
Chest
vessels
MRI
angiogram
W
contrast
IV
42275-8
Chest
and
Abdomen
CT
W
contrast
IV
36942-1
Chest
and
Abdomen
MRI
W
contrast
IV
72254-6
Chest
and
Abdomen
and
Pelvis
CT
W
contrast
IV
37254-0
Circle
of
Willis
MRI
angiogram
W
contrast
IV
42694-0
Clavicle
MRI
W
contrast
IV
48457-6
Clavicle
-
left
MRI
W
contrast
IV
48456-8
Clavicle
-
right
MRI
W
contrast
IV
36157-6
Elbow
CT
W
contrast
IV
36158-4
Elbow
MRI
W
contrast
IV
69170-9
Elbow
-
bilateral
MRI
W
contrast
IV
36159-2
Elbow
-
left
CT
W
contrast
IV
36160-0
Elbow
-
left
MRI
W
contrast
IV
36161-8
Elbow
-
right
CT
W
contrast
IV
36162-6
Elbow
-
right
MRI
W
contrast
IV
24691-8
Extremity
CT
W
contrast
IV
26184-2
Extremity
-
bilateral
CT
W
contrast
IV
26185-9
Extremity
-
left
CT
W
contrast
IV
26186-7
Extremity
-
right
CT
W
contrast
IV
36148-5
Face
MRI
W
contrast
IV
30801-5
Facial
bones
and
Maxilla
CT
W
contrast
IV
24697-5
Facial
bones
and
Sinuses
CT
W
contrast
IV
36172-5
Femur
CT
W
contrast
IV
69172-5
Femur
-
bilateral
MRI
W
contrast
IV
36174-1
Femur
-
left
CT
W
contrast
IV
36176-6
Femur
-
right
CT
W
contrast
IV
69195-6
Finger
MRI
W
contrast
IV
69205-3
Finger
-
left
MRI
W
contrast
IV
69215-2
Finger
-
right
MRI
W
contrast
IV
36178-2
Foot
CT
W
contrast
IV
36179-0
Foot
MRI
W
contrast
IV
36180-8
Foot
-
bilateral
MRI
W
contrast
IV
36181-6
Foot
-
left
CT
W
contrast
IV
36182-4
Foot
-
left
MRI
W
contrast
IV
36183-2
Foot
-
right
CT
W
contrast
IV
36184-0
Foot
-
right
MRI
W
contrast
IV
36185-7
Forearm
CT
W
contrast
IV
36186-5
Forearm
MRI
W
contrast
IV
69175-8
Forearm
-
bilateral
MRI
W
contrast
IV
36187-3
Forearm
-
left
CT
W
contrast
IV
36188-1
Forearm
-
left
MRI
W
contrast
IV
36189-9
Forearm
-
right
CT
W
contrast
IV
36190-7
Forearm
-
right
MRI
W
contrast
IV
36191-5
Hand
CT
W
contrast
IV
36192-3
Hand
MRI
W
contrast
IV
69178-2
Hand
-
bilateral
MRI
W
contrast
IV
36193-1
Hand
-
left
CT
W
contrast
IV
36194-9
Hand
-
left
MRI
W
contrast
IV
36195-6
Hand
-
right
CT
W
contrast
IV
36196-4
Hand
-
right
MRI
W
contrast
IV
24727-0
Head
CT
W
contrast
IV
36814-2
Head
arteries
CT
angiogram
W
contrast
IV
36826-6
Head
veins
MRI
angiogram
W
contrast
IV
36830-8
Head
vessels
CT
angiogram
W
contrast
IV
24593-6
Head
vessels
MRI
angiogram
W
contrast
IV
37498-3
Head
vessels
and
Neck
vessels
CT
angiogram
W
contrast
IV
24747-8
Head
Sagittal
Sinus
MRI
angiogram
W
contrast
IV
36197-2
Heart
MRI
W
contrast
IV
36200-4
Hip
CT
W
contrast
IV
36199-8
Hip
MRI
W
contrast
IV
36201-2
Hip
-
bilateral
CT
W
contrast
IV
36202-0
Hip
-
bilateral
MRI
W
contrast
IV
36203-8
Hip
-
left
CT
W
contrast
IV
36204-6
Hip
-
left
MRI
W
contrast
IV
36205-3
Hip
-
right
CT
W
contrast
IV
36206-1
Hip
-
right
MRI
W
contrast
IV
30583-9
Internal
auditory
canal
CT
W
contrast
IV
36155-0
Internal
auditory
canal
MRI
W
contrast
IV
46322-4
Kidney
CT
W
contrast
IV
36113-9
Kidney
MRI
W
contrast
IV
43766-5
Kidney
-
bilateral
CT
W
contrast
IV
36219-4
Kidney
-
bilateral
MRI
W
contrast
IV
24790-8
Kidney
-
bilateral
X-ray
tomograph
W
contrast
IV
36220-2
Kidney
-
left
MRI
W
contrast
IV
36221-0
Kidney
-
right
MRI
W
contrast
IV
36222-8
Knee
CT
W
contrast
IV
36223-6
Knee
MRI
W
contrast
IV
69088-3
Knee
-
bilateral
CT
W
contrast
IV
36224-4
Knee
-
bilateral
MRI
W
contrast
IV
36225-1
Knee
-
left
CT
W
contrast
IV
36226-9
Knee
-
left
MRI
W
contrast
IV
36227-7
Knee
-
right
CT
W
contrast
IV
36228-5
Knee
-
right
MRI
W
contrast
IV
36229-3
Larynx
CT
W
contrast
IV
36230-1
Larynx
MRI
W
contrast
IV
24815-3
Liver
CT
W
contrast
IV
36231-9
Liver
MRI
W
contrast
IV
30624-1
Lower
extremity
CT
W
contrast
IV
39293-6
Lower
extremity
MRI
W
contrast
IV
36824-1
Lower
extremity
veins
-
left
CT
W
contrast
IV
36825-8
Lower
extremity
veins
-
right
CT
W
contrast
IV
36831-6
Lower
extremity
vessels
CT
angiogram
W
contrast
IV
46324-0
Lower
extremity
vessels
MRI
angiogram
W
contrast
IV
44135-2
Lower
extremity
vessels
-
bilateral
MRI
angiogram
W
contrast
IV
50755-8
Lower
extremity
-
bilateral
CT
W
contrast
IV
36163-4
Lower
extremity
-
bilateral
MRI
W
contrast
IV
36213-7
Lower
Extremity
Joint
MRI
W
contrast
IV
36214-5
Lower
extremity
joint
-
left
MRI
W
contrast
IV
36215-2
Lower
extremity
joint
-
right
MRI
W
contrast
IV
36164-2
Lower
extremity
-
left
CT
W
contrast
IV
36165-9
Lower
extremity
-
left
MRI
W
contrast
IV
36166-7
Lower
extremity
-
right
CT
W
contrast
IV
36167-5
Lower
extremity
-
right
MRI
W
contrast
IV
36258-2
Lower
leg
CT
W
contrast
IV
36259-0
Lower
leg
MRI
W
contrast
IV
24820-3
Lower
leg
vessels
MRI
angiogram
W
contrast
IV
43512-3
Lower
leg
vessels
-
bilateral
MRI
angiogram
W
contrast
IV
42695-7
Lower
leg
-
bilateral
MRI
W
contrast
IV
36260-8
Lower
leg
-
left
CT
W
contrast
IV
36261-6
Lower
leg
-
left
MRI
W
contrast
IV
36262-4
Lower
leg
-
right
CT
W
contrast
IV
36263-2
Lower
leg
-
right
MRI
W
contrast
IV
36232-7
Mandible
CT
W
contrast
IV
48446-9
Nasopharynx
CT
W
contrast
IV
36233-5
Nasopharynx
MRI
W
contrast
IV
24836-9
Nasopharynx
and
Neck
CT
W
contrast
IV
36235-0
Neck
CT
W
contrast
IV
24841-9
Neck
MRI
W
contrast
IV
36827-4
Neck
veins
MRI
angiogram
W
contrast
IV
36234-3
Neck
vessels
CT
angiogram
W
contrast
IV
24844-3
Neck
vessels
MRI
angiogram
W
contrast
IV
48449-3
Orbit
CT
W
contrast
IV
36820-9
Orbit
MRI
W
contrast
IV
36832-4
Orbit
vessels
MRI
angiogram
W
contrast
IV
24850-0
Orbit
-
bilateral
CT
W
contrast
IV
24852-6
Orbit
-
bilateral
MRI
W
contrast
IV
36821-7
Orbit
-
left
MRI
W
contrast
IV
36822-5
Orbit
-
right
MRI
W
contrast
IV
46320-8
Orbit
and
Face
CT
W
contrast
IV
39038-5
Orbit
and
Face
MRI
W
contrast
IV
46321-6
Orbit
and
Face
and
Neck
MRI
W
contrast
IV
36823-3
Ovary
MRI
W
contrast
IV
24858-3
Pancreas
CT
W
contrast
IV
36236-8
Pancreas
MRI
W
contrast
IV
37240-9
Parotid
gland
CT
W
contrast
IV
37241-7
Parotid
gland
MRI
W
contrast
IV
24866-6
Pelvis
CT
W
contrast
IV
36237-6
Pelvis
MRI
W
contrast
IV
42294-9
Pelvis
vessels
CT
angiogram
W
contrast
IV
24873-2
Pelvis
vessels
MRI
angiogram
W
contrast
IV
24878-1
Petrous
bone
CT
W
contrast
IV
30590-4
Pituitary
and
Sella
turcica
CT
W
contrast
IV
36238-4
Pituitary
and
Sella
turcica
MRI
W
contrast
IV
36242-6
Posterior
fossa
CT
W
contrast
IV
36243-4
Posterior
fossa
MRI
W
contrast
IV
36244-2
Prostate
MRI
W
contrast
IV
36147-7
Pulmonary
artery
CT
angiogram
W
contrast
IV
36833-2
Renal
vessels
CT
angiogram
W
contrast
IV
30887-4
Renal
vessels
MRI
angiogram
W
contrast
IV
36217-8
Sacroiliac
Joint
CT
W
contrast
IV
36218-6
Sacroiliac
Joint
MRI
W
contrast
IV
36245-9
Sacrum
CT
W
contrast
IV
36246-7
Sacrum
MRI
W
contrast
IV
36247-5
Sacrum
and
Coccyx
MRI
W
contrast
IV
36248-3
Scapula
-
left
MRI
W
contrast
IV
36249-1
Scapula
-
right
MRI
W
contrast
IV
69221-0
Scrotum
and
Testicle
MRI
W
contrast
IV
36250-9
Shoulder
CT
W
contrast
IV
36251-7
Shoulder
MRI
W
contrast
IV
69184-0
Shoulder
-
bilateral
MRI
W
contrast
IV
36252-5
Shoulder
-
left
CT
W
contrast
IV
38830-6
Shoulder
-
left
MRI
W
contrast
IV
36253-3
Shoulder
-
right
CT
W
contrast
IV
36254-1
Shoulder
-
right
MRI
W
contrast
IV
36255-8
Sinuses
CT
W
contrast
IV
24915-1
Sinuses
MRI
W
contrast
IV
48440-2
Skull.base
MRI
W
contrast
IV
37253-2
Soft
tissue
MRI
W
contrast
IV
24987-0
Spine
CT
W
contrast
IV
36256-6
Spine
MRI
W
contrast
IV
37500-6
Spine
vessels
MRI
angiogram
W
contrast
IV
24933-4
Spine
Cervical
CT
W
contrast
IV
24938-3
Spine
Cervical
MRI
W
contrast
IV
37501-4
Cervical
Spine
vessels
MRI
angiogram
W
contrast
IV
38061-8
Spine
Cervical
and
Spine
Thoracic
and
Spine
Lumbar
and
Sacrum
MRI
W
contrast
IV
24964-9
Spine
Lumbar
CT
W
contrast
IV
30678-7
Spine
Lumbar
MRI
W
contrast
IV
37502-2
Lumbar
Spine
vessels
MRI
angiogram
W
contrast
IV
24979-7
Spine
Thoracic
CT
W
contrast
IV
24982-1
Spine
Thoracic
MRI
W
contrast
IV
37503-0
Thoracic
Spine
vessels
MRI
angiogram
W
contrast
IV
30622-5
Spleen
CT
W
contrast
IV
37242-5
Sternoclavicular
Joint
CT
W
contrast
IV
36257-4
Sternum
CT
W
contrast
IV
36815-9
Temporal
bone
CT
W
contrast
IV
38835-5
Temporal
bone
-
left
CT
W
contrast
IV
36816-7
Temporal
bone
-
right
CT
W
contrast
IV
37243-3
Temporomandibular
joint
CT
W
contrast
IV
37244-1
Temporomandibular
joint
MRI
W
contrast
IV
37245-8
Temporomandibular
joint
-
bilateral
MRI
W
contrast
IV
37246-6
Temporomandibular
joint
-
left
CT
W
contrast
IV
37247-4
Temporomandibular
joint
-
left
MRI
W
contrast
IV
37248-2
Temporomandibular
joint
-
right
CT
W
contrast
IV
37249-0
Temporomandibular
joint
-
right
MRI
W
contrast
IV
36173-3
Thigh
MRI
W
contrast
IV
25003-5
Thigh
vessels
MRI
angiogram
W
contrast
IV
36175-8
Thigh
-
left
MRI
W
contrast
IV
36177-4
Thigh
-
right
MRI
W
contrast
IV
36239-2
Thoracic
outlet
MRI
W
contrast
IV
24584-5
Thoracic
outlet
vessels
MRI
angiogram
W
contrast
IV
26181-8
Thoracic
outlet
vessels
-
bilateral
MRI
angiogram
W
contrast
IV
26182-6
Thoracic
outlet
vessels
-
left
MRI
angiogram
W
contrast
IV
26183-4
Thoracic
outlet
vessels
-
right
MRI
angiogram
W
contrast
IV
36240-0
Thoracic
outlet
-
left
MRI
W
contrast
IV
36241-8
Thoracic
outlet
-
right
MRI
W
contrast
IV
72243-9
Toes
-
left
MRI
W
contrast
IV
72240-5
Toes
-
right
MRI
W
contrast
IV
36207-9
Upper
arm
CT
W
contrast
IV
36208-7
Upper
arm
MRI
W
contrast
IV
69182-4
Upper
arm
-
bilateral
MRI
W
contrast
IV
36209-5
Upper
arm
-
left
CT
W
contrast
IV
36210-3
Upper
arm
-
left
MRI
W
contrast
IV
36211-1
Upper
arm
-
right
CT
W
contrast
IV
36212-9
Upper
arm
-
right
MRI
W
contrast
IV
30626-6
Upper
extremity
CT
W
contrast
IV
39037-7
Upper
extremity
MRI
W
contrast
IV
42295-6
Upper
extremity
vessels
CT
angiogram
W
contrast
IV
24549-8
Upper
extremity
vessels
MRI
angiogram
W
contrast
IV
36168-3
Upper
extremity
-
bilateral
CT
W
contrast
IV
69187-3
Upper
extremity
-
bilateral
MRI
W
contrast
IV
36216-0
Upper
extremity
.joint
MRI
W
contrast
IV
36817-5
Upper
extremity
joint
-
bilateral
MRI
W
contrast
IV
36818-3
Upper
extremity
joint
-
left
MRI
W
contrast
IV
36819-1
Upper
extremity
joint
-
right
MRI
W
contrast
IV
36169-1
Upper
extremity
-
left
CT
W
contrast
IV
38829-8
Upper
extremity
-
left
MRI
W
contrast
IV
36170-9
Upper
extremity
-
right
CT
W
contrast
IV
36171-7
Upper
extremity
-
right
MRI
W
contrast
IV
36264-0
Uterus
CT
W
contrast
IV
36265-7
Uterus
MRI
W
contrast
IV
36834-0
Vessel
CT
angiogram
W
contrast
IV
37447-0
Wrist
CT
W
contrast
IV
37448-8
Wrist
MRI
W
contrast
IV
69091-7
Wrist
-
bilateral
CT
W
contrast
IV
37449-6
Wrist
-
bilateral
MRI
W
contrast
IV
37450-4
Wrist
-
left
CT
W
contrast
IV
37451-2
Wrist
-
left
MRI
W
contrast
IV
37452-0
Wrist
-
right
CT
W
contrast
IV
37453-8
Wrist
-
right
MRI
W
contrast
IV
24753-6
Unspecified
body
region
CT
W
contrast
IV
49507-7
Unspecified
body
region
MRI
W
contrast
IV
25058-9
Unspecified
body
region
MRI
angiogram
W
contrast
IV
72531-7
Rectum
and
Colon
CT
3D
W
contrast
IV
and
W
air
contrast
PR
39450-2
Gastrointestine
US
W
contrast
PO
72246-2
Abdomen
and
Pelvis
MRI
W
contrast
PO
and
W
and
WO
contrast
IV
72250-4
Abdomen
and
Pelvis
CT
W
contrast
PO
and
W
contrast
IV
72247-0
Abdomen
and
Pelvis
MRI
W
contrast
PO
and
WO
contrast
IV
72245-4
Pelvis
MRI
W
contrast
PR
at
rest
and
maxmal
sphincter
contraction
during
straining
and
defecation
39648-1
Heart
SPECT
W
dipyridamole
and
W
radionuclide
IV
44154-3
Heart
SPECT
W
dipyridamole
and
W
Tc-99m
Sestamibi
IV
42389-7
Pelvis
MRI
W
endorectal
coil
42388-9
Prostate
MRI
W
endorectal
coil
42270-9
Spine
Cervical
MRI
W
flexion
and
W
extension
39682-0
SPECT
W
GA-67
IV
39638-2
Brain
SPECT
W
I-123
IV
39755-4
Thyroid
SPECT
W
I-131
IV
39839-6
SPECT
W
I-131
MIBG
IV
39844-6
SPECT
W
In-111
Satumomab
IV
41838-4
Prostate
SPECT
W
In-111
Satumomab
IV
41772-5
Bone
SPECT
W
In-111
tagged
WBC
IV
46297-8
SPECT
39823-0
Bone
marrow
SPECT
24578-7
Bones
SPECT
39632-5
Brain
SPECT
39644-0
Breast
SPECT
39770-3
Gastrointestine
SPECT
39649-9
Heart
SPECT
42310-3
Kidney
SPECT
39852-9
Kidney
-
bilateral
SPECT
39692-9
Liver
SPECT
39876-8
Liver
and
Spleen
SPECT
39628-3
Meckels
diverticulum
SPECT
39740-6
Parathyroid
SPECT
43526-3
Unspecified
body
region
SPECT
39938-6
Joint
SPECT
46330-7
Abdomen
CT
W
reduced
contrast
volume
IV
46327-3
Chest
CT
W
reduced
contrast
volume
IV
46326-5
Facial
bones
and
Maxilla
CT
W
reduced
contrast
volume
IV
46328-1
Head
CT
W
reduced
contrast
volume
IV
46325-7
Internal
auditory
canal
CT
W
reduced
contrast
volume
IV
46329-9
Pelvis
CT
W
reduced
contrast
volume
IV
42143-8
Uterus
and
Fallopian
tubes
US
W
saline
intrauterine
58750-1
Heart
MRI
W
stress
58749-3
Heart
MRI
W
stress
and
W
and
WO
contrast
IV
39668-9
Heart
SPECT
W
stress
and
W
radionuclide
IV
44152-7
Brain
SPECT
W
Tc-99m
bicisate
IV
39743-0
Prostate
SPECT
W
Tc-99m
capromab
pendatide
IV
39640-8
Brain
SPECT
W
Tc-99m
DTPA
IV
39641-6
Brain
SPECT
W
Tc-99m
glucoheptonate
IV
44153-5
Kidney
SPECT
W
Tc-99m
glucoheptonate
IV
39631-7
Brain
SPECT
W
Tc-99m
HMPAO
IV
24817-9
Liver
SPECT
W
Tc-99m
IV
39851-1
Kidney
-
bilateral
SPECT
W
Tc-99m
Mertiatide
IV
69229-3
Liver
SPECT
W
Tc-99m
SC
IV
44151-9
Heart
SPECT
W
Tc-99m
Sestamibi
IV
39691-1
Liver
SPECT
W
Tc-99m
tagged
RBC
IV
69234-3
Spleen
SPECT
W
Tc-99m
tagged
RBC
IV
39647-3
Heart
SPECT
W
Tc-99m
Tetrofosmin
IV
39639-0
Brain
SPECT
W
Tl-201
IV
42377-2
Brain
CT
W
Xe-133
inhaled
46393-5
Liver
CT
W
Xe-133
inhaled
42394-7
Pulmonary
system
CT
W
Xe-133
inhaled
36424-0
Abdomen
CT
WO
contrast
30668-8
Abdomen
MRI
WO
contrast
42291-5
Abdomen
retroperitoneum
CT
WO
contrast
36952-0
Abdomen
and
Pelvis
CT
WO
contrast
36878-7
Abdominal
vessels
MRI
angiogram
WO
contrast
36496-8
Acromioclavicular
Joint
MRI
WO
contrast
36953-8
Adrenal
gland
CT
WO
contrast
36954-6
Adrenal
gland
MRI
WO
contrast
36425-7
Ankle
CT
WO
contrast
30680-3
Ankle
MRI
WO
contrast
36879-5
Ankle
vessels
MRI
angiogram
WO
contrast
69087-5
Ankle
-
bilateral
CT
WO
contrast
69164-2
Ankle
-
bilateral
MRI
WO
contrast
36426-5
Ankle
-
left
CT
WO
contrast
36427-3
Ankle
-
left
MRI
WO
contrast
36428-1
Ankle
-
right
CT
WO
contrast
36429-9
Ankle
-
right
MRI
WO
contrast
36430-7
Aorta
CT
WO
contrast
44132-9
Aorta
MRI
angiogram
WO
contrast
36431-5
Aorta
abdominal
CT
WO
contrast
36432-3
Aorta
abdominal
MRI
angiogram
WO
contrast
69119-6
Aorta
thoracic
CT
angiogram
WO
contrast
36433-1
Aorta
thoracic
MRI
angiogram
WO
contrast
44130-3
Aortic
arch
MRI
angiogram
WO
contrast
36434-9
Appendix
CT
WO
contrast
44123-8
Biliary
ducts
and
Pancreatic
duct
MRI
WO
contrast
30657-1
Brain
MRI
WO
contrast
48453-5
Brain.temporal
MRI
WO
contrast
37278-9
Brain
and
Internal
auditory
canal
MRI
WO
contrast
37279-7
Brain
and
Larynx
MRI
WO
contrast
42393-9
Brain
and
Pituitary
and
Sella
turcica
MRI
WO
contrast
36436-4
Breast
MRI
WO
contrast
69191-5
Breast
implant
MRI
WO
contrast
69168-3
Breast
implant
-
bilateral
MRI
WO
contrast
38064-2
Breast
implant
-
left
MRI
WO
contrast
38817-3
Breast
implant
-
right
MRI
WO
contrast
44119-6
Breast
-
bilateral
CT
WO
contrast
36437-2
Breast
-
bilateral
MRI
WO
contrast
36438-0
Breast
-
left
MRI
WO
contrast
36439-8
Breast
-
right
MRI
WO
contrast
46333-1
Breast
-
unilateral
MRI
WO
contrast
36483-6
Calcaneus
CT
WO
contrast
36440-6
Calcaneus
-
left
CT
WO
contrast
36441-4
Calcaneus
-
right
CT
WO
contrast
36880-3
Carotid
vessel
MRI
angiogram
WO
contrast
29252-4
Chest
CT
WO
contrast
36442-2
Chest
MRI
WO
contrast
69084-2
Chest
vessels
CT
angiogram
WO
contrast
36547-8
Chest
vessels
MRI
angiogram
WO
contrast
42276-6
Chest
and
Abdomen
CT
WO
contrast
72253-8
Chest
and
Abdomen
and
Pelvis
CT
WO
contrast
42302-0
Clavicle
MRI
WO
contrast
48459-2
Clavicle
-
left
MRI
WO
contrast
48458-4
Clavicle
-
right
MRI
WO
contrast
36443-0
Elbow
CT
WO
contrast
30796-7
Elbow
MRI
WO
contrast
36444-8
Elbow
-
bilateral
CT
WO
contrast
69171-7
Elbow
-
bilateral
MRI
WO
contrast
36445-5
Elbow
-
left
CT
WO
contrast
36446-3
Elbow
-
left
MRI
WO
contrast
36447-1
Elbow
-
right
CT
WO
contrast
36448-9
Elbow
-
right
MRI
WO
contrast
42278-2
Extremity
CT
WO
contrast
69104-8
Extremity
-
left
CT
WO
contrast
69111-3
Extremity
-
right
CT
WO
contrast
36435-6
Face
MRI
WO
contrast
30802-3
Facial
bones
and
Maxilla
CT
WO
contrast
72249-6
Facial
bones
and
Sinuses
CT
WO
contrast
36460-4
Femur
CT
WO
contrast
69173-3
Femur
-
bilateral
MRI
WO
contrast
36462-0
Femur
-
left
CT
WO
contrast
36464-6
Femur
-
right
CT
WO
contrast
69196-4
Finger
MRI
WO
contrast
69206-1
Finger
-
left
MRI
WO
contrast
69216-0
Finger
-
right
MRI
WO
contrast
36466-1
Foot
CT
WO
contrast
30681-1
Foot
MRI
WO
contrast
36467-9
Foot
-
bilateral
MRI
WO
contrast
36468-7
Foot
-
left
CT
WO
contrast
36469-5
Foot
-
left
MRI
WO
contrast
36470-3
Foot
-
right
CT
WO
contrast
36471-1
Foot
-
right
MRI
WO
contrast
36472-9
Forearm
CT
WO
contrast
30683-7
Forearm
MRI
WO
contrast
69176-6
Forearm
-
bilateral
MRI
WO
contrast
36473-7
Forearm
-
left
CT
WO
contrast
36474-5
Forearm
-
left
MRI
WO
contrast
36475-2
Forearm
-
right
CT
WO
contrast
36476-0
Forearm
-
right
MRI
WO
contrast
36477-8
Hand
CT
WO
contrast
30685-2
Hand
MRI
WO
contrast
69179-0
Hand
-
bilateral
MRI
WO
contrast
36478-6
Hand
-
left
CT
WO
contrast
36479-4
Hand
-
left
MRI
WO
contrast
36480-2
Hand
-
right
CT
WO
contrast
36481-0
Hand
-
right
MRI
WO
contrast
30799-1
Head
CT
WO
contrast
36876-1
Head
veins
MRI
angiogram
WO
contrast
42293-1
Head
vessels
CT
angiogram
WO
contrast
36881-1
Head
vessels
MRI
angiogram
WO
contrast
36482-8
Heart
MRI
WO
contrast
36484-4
Hip
CT
WO
contrast
30687-8
Hip
MRI
WO
contrast
36485-1
Hip
-
bilateral
CT
WO
contrast
36486-9
Hip
-
bilateral
MRI
WO
contrast
36487-7
Hip
-
left
CT
WO
contrast
36488-5
Hip
-
left
MRI
WO
contrast
36489-3
Hip
-
right
CT
WO
contrast
36490-1
Hip
-
right
MRI
WO
contrast
30584-7
Internal
auditory
canal
CT
WO
contrast
30658-9
Internal
auditory
canal
MRI
WO
contrast
43770-7
Kidney
CT
WO
contrast
43773-1
Kidney
MRI
WO
contrast
36503-1
Kidney
-
bilateral
CT
WO
contrast
36504-9
Kidney
-
bilateral
MRI
WO
contrast
39359-5
Kidney
-
bilateral
X-ray
tomograph
WO
contrast
36505-6
Knee
CT
WO
contrast
30691-0
Knee
MRI
WO
contrast
69089-1
Knee
-
bilateral
CT
WO
contrast
36506-4
Knee
-
bilateral
MRI
WO
contrast
36507-2
Knee
-
left
CT
WO
contrast
36508-0
Knee
-
left
MRI
WO
contrast
36509-8
Knee
-
right
CT
WO
contrast
36510-6
Knee
-
right
MRI
WO
contrast
36511-4
Larynx
CT
WO
contrast
48445-1
Larynx
MRI
WO
contrast
30611-8
Liver
CT
WO
contrast
30669-6
Liver
MRI
WO
contrast
30625-8
Lower
extremity
CT
WO
contrast
39292-8
Lower
extremity
MRI
WO
contrast
44129-5
Lower
extremity
vessels
MRI
angiogram
WO
contrast
36450-5
Lower
extremity
vessels
-
bilateral
MRI
angiogram
WO
contrast
36882-9
Lower
extremity
vessels
-
left
MRI
angiogram
WO
contrast
38773-8
Lower
extremity
vessels
-
right
MRI
angiogram
WO
contrast
36449-7
Lower
extremity
-
bilateral
CT
WO
contrast
36451-3
Lower
extremity
-
bilateral
MRI
WO
contrast
36497-6
Lower
Extremity
Joint
MRI
WO
contrast
36498-4
Lower
extremity
joint
-
left
MRI
WO
contrast
36499-2
Lower
extremity
joint
-
right
MRI
WO
contrast
36452-1
Lower
extremity
-
left
CT
WO
contrast
36453-9
Lower
extremity
-
left
MRI
WO
contrast
36454-7
Lower
extremity
-
right
CT
WO
contrast
36455-4
Lower
extremity
-
right
MRI
WO
contrast
36537-9
Lower
leg
CT
WO
contrast
30869-2
Lower
leg
MRI
WO
contrast
69185-7
Lower
leg
-
bilateral
MRI
WO
contrast
36538-7
Lower
leg
-
left
CT
WO
contrast
36539-5
Lower
leg
-
left
MRI
WO
contrast
36540-3
Lower
leg
-
right
CT
WO
contrast
36541-1
Lower
leg
-
right
MRI
WO
contrast
36512-2
Mandible
CT
WO
contrast
36513-0
Nasopharynx
MRI
WO
contrast
30585-4
Nasopharynx
and
Neck
CT
WO
contrast
36514-8
Neck
CT
WO
contrast
30660-5
Neck
MRI
WO
contrast
36877-9
Neck
veins
MRI
angiogram
WO
contrast
36549-4
Neck
vessels
MRI
angiogram
WO
contrast
46331-5
Orbit
CT
WO
contrast
36872-0
Orbit
MRI
WO
contrast
30587-0
Orbit
-
bilateral
CT
WO
contrast
30661-3
Orbit
-
bilateral
MRI
WO
contrast
36873-8
Orbit
-
left
MRI
WO
contrast
36874-6
Orbit
-
right
MRI
WO
contrast
36956-1
Orbit
and
Face
MRI
WO
contrast
46332-3
Orbit
and
Face
and
Neck
MRI
WO
contrast
36875-3
Ovary
MRI
WO
contrast
30613-4
Pancreas
CT
WO
contrast
36515-5
Pancreas
MRI
WO
contrast
37280-5
Parotid
gland
CT
WO
contrast
37281-3
Parotid
gland
MRI
WO
contrast
30615-9
Pelvis
CT
WO
contrast
30673-8
Pelvis
MRI
WO
contrast
36883-7
Pelvis
vessels
MRI
angiogram
WO
contrast
30671-2
Pelvis
and
Hip
MRI
WO
contrast
30589-6
Petrous
bone
CT
WO
contrast
30591-2
Pituitary
and
Sella
turcica
CT
WO
contrast
30666-2
Pituitary
and
Sella
turcica
MRI
WO
contrast
36543-7
Portal
vein
MRI
angiogram
WO
contrast
36517-1
Posterior
fossa
CT
WO
contrast
36518-9
Posterior
fossa
MRI
WO
contrast
36519-7
Prostate
MRI
WO
contrast
36544-5
Renal
vein
MRI
angiogram
WO
contrast
44133-7
Renal
vessels
MRI
angiogram
WO
contrast
36501-5
Sacroiliac
Joint
CT
WO
contrast
36502-3
Sacroiliac
Joint
MRI
WO
contrast
36520-5
Sacrum
CT
WO
contrast
36521-3
Sacrum
MRI
WO
contrast
36522-1
Sacrum
and
Coccyx
MRI
WO
contrast
69118-8
Scapula
CT
WO
contrast
36523-9
Scapula
-
left
MRI
WO
contrast
38770-4
Scapula
-
right
MRI
WO
contrast
36535-3
Scrotum
and
Testicle
MRI
WO
contrast
36524-7
Shoulder
CT
WO
contrast
30693-6
Shoulder
MRI
WO
contrast
69090-9
Shoulder
-
bilateral
CT
WO
contrast
36525-4
Shoulder
-
bilateral
MRI
WO
contrast
36526-2
Shoulder
-
left
CT
WO
contrast
38834-8
Shoulder
-
left
MRI
WO
contrast
36527-0
Shoulder
-
right
CT
WO
contrast
36528-8
Shoulder
-
right
MRI
WO
contrast
36529-6
Sinuses
CT
WO
contrast
30662-1
Sinuses
MRI
WO
contrast
44112-1
Skull.base
CT
WO
contrast
48687-8
Skull.base
MRI
WO
contrast
37293-8
Soft
tissue
MRI
WO
contrast
36530-4
Spine
CT
WO
contrast
36531-2
Spine
MRI
WO
contrast
37510-5
Spine
vessels
MRI
angiogram
WO
contrast
30592-0
Spine
Cervical
CT
WO
contrast
30667-0
Spine
Cervical
MRI
WO
contrast
37511-3
Cervical
Spine
vessels
MRI
angiogram
WO
contrast
30854-4
Spine
Cervical
and
Thoracic
and
Lumbar
MRI
WO
contrast
30620-9
Spine
Lumbar
CT
WO
contrast
30679-5
Spine
Lumbar
MRI
WO
contrast
37994-1
Lumbar
Spine
vessels
MRI
angiogram
WO
contrast
37288-8
Spine
Lumbosacral
Junction
CT
WO
contrast
30597-9
Spine
Thoracic
CT
WO
contrast
36532-0
Spine
Thoracic
MRI
WO
contrast
37512-1
Thoracic
Spine
vessels
MRI
angiogram
WO
contrast
30621-7
Spleen
CT
WO
contrast
36533-8
Spleen
MRI
WO
contrast
37282-1
Sternoclavicular
Joint
CT
WO
contrast
36534-6
Sternum
CT
WO
contrast
44230-1
Superior
mesenteric
vessels
MRI
angiogram
WO
contrast
36866-2
Temporal
bone
CT
WO
contrast
36867-0
Temporal
bone
-
left
CT
WO
contrast
36868-8
Temporal
bone
-
right
CT
WO
contrast
37283-9
Temporomandibular
joint
CT
WO
contrast
37284-7
Temporomandibular
joint
MRI
WO
contrast
37285-4
Temporomandibular
joint
-
bilateral
MRI
WO
contrast
37286-2
Temporomandibular
joint
-
left
MRI
WO
contrast
37287-0
Temporomandibular
joint
-
right
MRI
WO
contrast
36461-2
Thigh
MRI
WO
contrast
43514-9
Thigh
vessels
-
left
MRI
angiogram
WO
contrast
43515-6
Thigh
vessels
-
right
MRI
angiogram
WO
contrast
36463-8
Thigh
-
left
MRI
WO
contrast
36465-3
Thigh
-
right
MRI
WO
contrast
30654-8
Thoracic
outlet
MRI
WO
contrast
38833-0
Thoracic
outlet
-
left
MRI
WO
contrast
36516-3
Thoracic
outlet
-
right
MRI
WO
contrast
36955-3
Thyroid
CT
WO
contrast
36536-1
Thyroid
MRI
WO
contrast
72242-1
Toes
-
left
MRI
WO
contrast
72239-7
Toes
-
right
MRI
WO
contrast
36491-9
Upper
arm
CT
WO
contrast
30689-4
Upper
arm
MRI
WO
contrast
69183-2
Upper
arm
-
bilateral
MRI
WO
contrast
36492-7
Upper
arm
-
left
CT
WO
contrast
36493-5
Upper
arm
-
left
MRI
WO
contrast
36494-3
Upper
arm
-
right
CT
WO
contrast
36495-0
Upper
arm
-
right
MRI
WO
contrast
30627-4
Upper
extremity
CT
WO
contrast
39033-6
Upper
extremity
MRI
WO
contrast
36548-6
Upper
extremity
vessels
MRI
angiogram
WO
contrast
36456-2
Upper
extremity
-
bilateral
CT
WO
contrast
69188-1
Upper
extremity
-
bilateral
MRI
WO
contrast
36500-7
Upper
extremity
.joint
MRI
WO
contrast
36869-6
Upper
extremity
joint
-
left
MRI
WO
contrast
36870-4
Upper
extremity
joint
-
right
MRI
WO
contrast
36457-0
Upper
extremity
-
left
CT
WO
contrast
38832-2
Upper
extremity
-
left
MRI
WO
contrast
36458-8
Upper
extremity
-
right
CT
WO
contrast
36459-6
Upper
extremity
-
right
MRI
WO
contrast
36542-9
Uterus
MRI
WO
contrast
36545-2
Inferior
vena
cava
MRI
WO
contrast
36546-0
Superior
vena
cava
MRI
WO
contrast
37459-5
Wrist
CT
WO
contrast
37460-3
Wrist
MRI
WO
contrast
43516-4
Wrist
vessels
-
left
MRI
angiogram
WO
contrast
43517-2
Wrist
vessels
-
right
MRI
angiogram
WO
contrast
37461-1
Wrist
-
bilateral
CT
WO
contrast
37462-9
Wrist
-
bilateral
MRI
WO
contrast
37463-7
Wrist
-
left
CT
WO
contrast
37464-5
Wrist
-
left
MRI
WO
contrast
37465-2
Wrist
-
right
CT
WO
contrast
37466-0
Wrist
-
right
MRI
WO
contrast
43525-5
Unspecified
body
region
CT
WO
contrast
69223-6
Unspecified
body
region
MRI
WO
contrast
36871-2
Joint
MRI
WO
contrast
24787-4
Kidney
R5
-
bilateral
X-ray
tomograph
WO
contrast
and
10M
post
contrast
IV
30712-4
Hip
US
WO
developmental
joint
assessment
25051-4
Unspecified
body
region
CT
Multisectional
sagittal
29750-7
Neonatal
intensive
care
records
25060-5
Unspecified
body
region
US
No
charge
52072-6
Non-emergency
transportation
53246-5
Non-medical
services
46210-1
Case
manager
Note
34819-3
Pathology
Evaluation
and
management
note
46215-0
Wound
care
management
Note
28568-4
Physician
Emergency
department
Note
11536-0
Nurse
Notes
52066-8
Notice
of
Discharge
Medicare
Appeal
Rights
(NODMAR)
form
53244-0
Notice
of
privacy
practices
receipt
11543-6
Nursery
records
46208-5
Nursing
see
ballot
notes
52051-0
Orthotics/Prosthetics
52052-8
Osteogenesis
stimulators
52053-6
Oxygen
52054-4
Parenteral
52067-6
Past
filing
limit
justification
24620-7
Catheter
Fluoroscopy
Patency
check
W
contrast
via
catheter
33721-2
Bone
marrow
Pathology
biopsy
report
34122-2
Pathology
procedure
note
55188-7
Patient
data
Document
55750-4
Patient
safety
report
Event
Document
52034-6
Payer
letter
24882-3
Popliteal
artery
Fluoroscopic
angiogram
Percutaneous
transluminal
angioplasty
of
vessel
W
contrast
IA
69252-5
Pulmonary
artery
Fluoroscopic
angiogram
Percutaneous
transluminal
angioplasty
of
vessel
W
contrast
IA
69248-3
Renal
artery
Fluoroscopic
angiogram
Percutaneous
transluminal
angioplasty
of
vessel
W
contrast
IA
42018-2
Vein
Fluoroscopic
angiogram
Percutaneous
transluminal
angioplasty
of
vessel
W
contrast
IA
69301-0
Upper
extremity
vein
Fluoroscopic
angiogram
Percutaneous
transluminal
angioplasty
of
vessel
W
contrast
IV
28629-4
Perimetry
study
74030-8
Periodontal
service
attachment
29752-3
Perioperative
records
24875-7
Peripheral
vessel
US.doppler
Peripheral
plane
51965-2
Pharmacogenetic
analysis
report
in
Blood
or
Tissue
Document
by
Molecular
genetics
method
51850-6
Physical
findings
of
Head
and
Ears
and
Eyes
and
Nose
and
Throat
24998-7
Placement
check
of
gastrostomy
tube
W
contrast
via
GI
tube
52055-1
Power
operated
vehicles
52063-5
Prescription
for
durable
medical
equipment
(DME)
18836-7
Cardiac
stress
study
Procedure
28570-0
Provider-unspecified
Procedure
note
28577-5
Dentist
procedure
note
11505-5
Physician
procedure
note
28625-2
Podiatry
procedure
note
52068-4
Property
and
casualty
state
mandated
forms
46209-3
Provider
orders
55751-2
Public
health
case
report
Document
52075-9
Purchase
invoice
55184-6
Quality
Reporting
Document
Architecture
calculated
summary
report
population
Document
55182-0
Quality
Reporting
Document
Architecture
incidence
report
Document
55183-8
Quality
Reporting
Document
Architecture
patient
).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
report
population
Document
62385-0
Recommendation
[interpretation]
Document
11514-7
Chiropractic
Records
total
Encounter
11521-2
Occupational
therapy
Records
total
Encounter
11515-4
Physical
therapy
Records
total
Encounter
11516-2
Physician
Records
total
Encounter
11517-0
Podiatry
Records
total
Encounter
11518-8
Psychology
Records
total
Encounter
11519-6
Social
service
Records
total
Encounter
11520-4
Speech
therapy
Records
total
Encounter
44226-9
Colon
Fluoroscopy
Reduction
W
views
W
barium
contrast
PR
30636-5
Colon
Fluoroscopy
Reduction
W
views
W
contrast
PR
18823-5
Alcohol
and/or
substance
abuse
service
attachment
18824-3
Cardiac
service
attachment
18825-0
Medical
social
services
attachment
18826-8
Occupational
therapy
service
attachment
19002-5
Physical
therapy
service
attachment
18594-2
Psychiatric
service
attachment
52184-9
Pulmonary
therapy
service
attachment
19003-3
Respiratory
therapy
service
attachment
19004-1
Skilled
nursing
service
attachment
29206-0
Speech
therapy
service
attachment
25073-8
Vessel
Fluoroscopic
angiogram
Removal
of
foreign
body
from
vascular
space
52056-9
Repair
of
durable
medical
equipment
25015-9
Upper
GI
tract
Replacement
of
percutaneous
gastrojejunostomy
60569-1
Report
addendum.synoptic
Document
55187-9
Reporting
parameters
Document
52057-7
Seat
lift
mechanism
52058-5
Seating
systems
52039-5
Skilled
Nursing
Facility
(SNF)
record
52059-3
Speech
generating
device
52060-1
Standers/standing
frames
52029-6
Sterilization
consent
55228-1
Cytogenetics
study
18752-6
Exercise
stress
test
study
29755-6
Nerve
conduction
study
11526-1
Pathology
study
28633-6
Polysomnography
(sleep)
study
11527-9
Psychiatry
study
58477-1
Pulmonary
function
report
11529-5
Surgical
pathology
study
55230-7
Immunophenotyping
study
11523-8
EEG
study
11541-0
MRI
Brain
study
29757-2
Colposcopy
study
33717-0
Cytology
Cervical
or
vaginal
smear
or
scraping
study
18745-0
Cardiac
catheterization
study
11524-6
EKG
study
18750-0
Electrophysiology
study
18754-2
Holter
monitor
study
18746-8
Colonoscopy
study
18753-4
Flexible
sigmoidoscopy
study
29756-4
Peritoneoscopy
study
18744-3
Bronchoscopy
study
18759-1
Spirometry
study
38269-7
Study
report
Skeletal
system
DXA
18756-7
MRI
Spine
study
17787-3
Thyroid
Scan
Study
report
55229-9
Immune
stain
study
18751-8
Endoscopy
study
18742-7
Arthroscopy
study
33716-2
Non-gynecological
cytology
method
study
18748-4
Diagnostic
imaging
study
18749-2
Electromyogram
study
33719-6
Flow
cytometry
study
29754-9
Nystagmogram
study
52038-7
Subscriber
Information
including
retroactive
and
presumptive
eligibility
52061-9
Support
surfaces
28583-3
Dentist
Operation
note
28573-4
Physician,
Operation
note
60568-3
Synoptic
report
52069-2
Tax
ID
number
-
IRS
form
W9
11534-5
Temperature
charts
46213-5
Tilt
table
study
28630-2
Tonometry
study
52062-7
Transcutaneous
electrical
neural
stimulation
(TENS)
28651-8
Nurse
Transfer
note
28616-1
Physician
Transfer
note
69409-1
U.S.
standard
certificate
of
death
-
2003
revision
24783-3
Kidney
-
bilateral
Fluoroscopy
Urodynamics
25065-4
Unspecified
body
region
Fluoroscopy
15
minutes
25068-8
Unspecified
body
region
Fluoroscopy
1
hour
43471-2
Unspecified
body
region
Fluoroscopy
2
hour
25066-2
Unspecified
body
region
Fluoroscopy
30
minutes
25067-0
Unspecified
body
region
Fluoroscopy
45
minutes
43472-0
Unspecified
body
region
Fluoroscopy
90
minutes
42702-1
Unspecified
body
region
Fluoroscopy
Greater
than
1
hour
42703-9
Unspecified
body
region
Fluoroscopy
Less
than
1
hour
36550-2
Abdomen
X-ray
Single
view
36551-0
Ankle
X-ray
Single
view
69307-7
Ankle
-
left
X-ray
Single
view
69314-3
Ankle
-
right
X-ray
Single
view
46335-6
Breast
-
bilateral
Mammogram
Single
view
46336-4
Breast
-
left
Mammogram
Single
view
46337-2
Breast
-
right
Mammogram
Single
view
46338-0
Breast
-
unilateral
Mammogram
Single
view
36564-3
Calcaneus
X-ray
Single
view
69311-9
Calcaneus
-
left
X-ray
Single
view
69319-2
Calcaneus
-
right
X-ray
Single
view
36554-4
Chest
X-ray
Single
view
42699-9
Chest
and
Abdomen
X-ray
Single
view
36555-1
Clavicle
X-ray
Single
view
36556-9
Elbow
X-ray
Single
view
69308-5
Elbow
-
left
X-ray
Single
view
69315-0
Elbow
-
right
X-ray
Single
view
42153-7
Extremity
X-ray
Single
view
36559-3
Femur
X-ray
Single
view
36560-1
Femur
-
left
X-ray
Single
view
37689-7
Femur
-
right
X-ray
Single
view
36561-9
Foot
X-ray
Single
view
69309-3
Foot
-
left
X-ray
Single
view
69316-8
Foot
-
right
X-ray
Single
view
36563-5
Hand
X-ray
Single
view
69310-1
Hand
-
left
X-ray
Single
view
69318-4
Hand
-
right
X-ray
Single
view
24761-9
Hip
X-ray
Single
view
26400-2
Hip
-
bilateral
X-ray
Single
view
26401-0
Hip
-
left
X-ray
Single
view
26402-8
Hip
-
right
X-ray
Single
view
36565-0
Humerus
X-ray
Single
view
69312-7
Humerus
-
left
X-ray
Single
view
69320-0
Humerus
-
right
X-ray
Single
view
36566-8
Knee
-
bilateral
X-ray
Single
view
36567-6
Knee
-
left
X-ray
Single
view
37741-6
Knee
-
right
X-ray
Single
view
36557-7
Lower
extremity
-
bilateral
X-ray
Single
view
36558-5
Lower
extremity
-
left
X-ray
Single
view
37764-8
Lower
extremity
-
right
X-ray
Single
view
37614-5
Patella
X-ray
Single
view
69152-7
Patella
-
left
X-ray
Single
view
69260-8
Patella
-
right
X-ray
Single
view
37616-0
Pelvis
X-ray
Single
view
69317-6
Radius
-
right
and
Ulna
-
right
X-ray
Single
view
42313-7
Ribs
-
left
X-ray
Single
view
42314-5
Ribs
-
right
X-ray
Single
view
37654-1
Scapula
X-ray
Single
view
30748-8
Shoulder
X-ray
Single
view
36568-4
Shoulder
-
bilateral
X-ray
Single
view
36569-2
Shoulder
-
left
X-ray
Single
view
37792-9
Shoulder
-
right
X-ray
Single
view
37851-3
Sinuses
X-ray
Single
view
24917-7
Skull
X-ray
Single
view
48695-1
Skull.base
X-ray
Single
view
37875-2
Spine
X-ray
Single
view
24940-9
Spine
Cervical
X-ray
Single
view
30773-6
Spine
Lumbar
X-ray
Single
view
37904-0
Spine
Thoracic
X-ray
Single
view
38121-0
Spine
Thoracic
and
Lumbar
X-ray
Single
view
69313-5
Tibia
-
left
and
Fibula
-
left
X-ray
Single
view
69321-8
Tibia
-
right
and
Fibula
-
right
X-ray
Single
view
37894-3
Tibia
and
Fibula
X-ray
Single
view
37924-8
Wrist
X-ray
Single
view
42419-2
Wrist
-
bilateral
X-ray
Single
view
36570-0
Wrist
-
left
X-ray
Single
view
37825-7
Wrist
-
right
X-ray
Single
view
30642-3
Unspecified
body
region
Fluoroscopy
Single
view
30787-6
Joint
X-ray
Single
view
44176-6
Hip
X-ray
Single
view
portable
41775-8
Pelvis
X-ray
Single
view
portable
30749-6
Shoulder
X-ray
Single
view
portable
30722-3
Skull
X-ray
Single
view
portable
30724-9
Spine
Cervical
X-ray
Single
view
portable
30774-4
Spine
Lumbar
X-ray
Single
view
portable
70932-9
Spine
Thoracic
X-ray
Single
view
portable
25063-9
Vessel
Fluoroscopic
angiogram
Single
view
W
contrast
IA
69268-1
Breast
duct
Mammogram
Single
view
W
contrast
intra
duct
49510-1
Breast
duct
-
left
Mammogram
Single
view
W
contrast
intra
duct
49509-3
Breast
duct
-
right
Mammogram
Single
view
W
contrast
intra
duct
24715-5
Gastrointestine
upper
Fluoroscopy
Single
view
W
contrast
PO
37513-9
Tibia
-
bilateral
X-ray
10
degree
caudal
angle
37514-7
Tibia
-
left
X-ray
10
degree
caudal
angle
38806-6
Tibia
-
right
X-ray
10
degree
caudal
angle
37467-8
Acromioclavicular
Joint
X-ray
10
degree
cephalic
angle
37468-6
Shoulder
-
bilateral
X-ray
30
degree
caudal
angle
42431-7
Knee
-
right
X-ray
30
degree
standing
69079-2
Clavicle
X-ray
45
degree
cephalic
angle
37469-4
Clavicle
-
bilateral
X-ray
45
degree
cephalic
angle
37470-2
Clavicle
-
left
X-ray
45
degree
cephalic
angle
38803-3
Clavicle
-
right
X-ray
45
degree
cephalic
angle
24799-9
Abdomen
X-ray
AP
single
view
36583-3
Acromioclavicular
joint
-
left
X-ray
AP
single
view
37662-4
Acromioclavicular
joint
-
right
X-ray
AP
single
view
36571-8
Ankle
X-ray
AP
single
view
36572-6
Chest
X-ray
AP
single
view
36573-4
Clavicle
X-ray
AP
single
view
36575-9
Femur
X-ray
AP
single
view
36576-7
Finger
fifth
X-ray
AP
single
view
36577-5
Finger
fourth
X-ray
AP
single
view
36578-3
Finger
third
X-ray
AP
single
view
36579-1
Foot
X-ray
AP
single
view
36580-9
Foot
-
bilateral
X-ray
AP
single
view
36581-7
Hip
X-ray
AP
single
view
36582-5
Hip
-
left
X-ray
AP
single
view
37726-7
Hip
-
right
X-ray
AP
single
view
36584-1
Knee
X-ray
AP
single
view
36585-8
Knee
-
bilateral
X-ray
AP
single
view
48462-6
Knee
-
left
X-ray
AP
single
view
48463-4
Knee
-
right
X-ray
AP
single
view
36574-2
Lower
extremity
X-ray
AP
single
view
42439-0
Neck
X-ray
AP
single
view
37622-8
Pelvis
X-ray
AP
single
view
39050-0
Ribs
X-ray
AP
single
view
36958-7
Ribs
-
bilateral
X-ray
AP
single
view
36959-5
Ribs
-
left
X-ray
AP
single
view
37783-8
Ribs
-
right
X-ray
AP
single
view
39048-4
Scapula
X-ray
AP
single
view
37842-2
Shoulder
X-ray
AP
single
view
36586-6
Shoulder
-
bilateral
X-ray
AP
single
view
36587-4
Shoulder
-
left
X-ray
AP
single
view
37798-6
Shoulder
-
right
X-ray
AP
single
view
69269-9
Skull
X-ray
AP
single
view
37877-8
Spine
X-ray
AP
single
view
30725-6
Spine
Cervical
X-ray
AP
single
view
24948-2
Spine
Cervical
Odontoid
and
Cervical
axis
X-ray
AP
single
view
30777-7
Spine
Lumbar
X-ray
AP
single
view
30752-0
Spine
Thoracic
X-ray
AP
single
view
39049-2
Spine
Thoracic
and
Lumbar
X-ray
AP
single
view
37880-2
Sternoclavicular
Joint
X-ray
AP
single
view
37890-1
Thumb
X-ray
AP
single
view
37897-6
Tibia
and
Fibula
X-ray
AP
single
view
39402-3
Shoulder
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
37634-3
Pelvis
X-ray
AP
20
degree
cephalic
angle
30734-8
Chest
X-ray
AP
lateral-decubitus
30735-5
Chest
X-ray
AP
lateral-decubitus
portable
24561-3
Abdomen
X-ray
AP
left
lateral-decubitus
24637-1
Chest
X-ray
AP
left
lateral-decubitus
24560-5
Abdomen
X-ray
AP
left
lateral-decubitus
portable
24636-3
Chest
X-ray
AP
left
lateral-decubitus
portable
36588-2
Abdomen
X-ray
AP
portable
single
view
36589-0
Chest
X-ray
AP
portable
single
view
30727-2
Spine
Cervical
X-ray
AP
portable
single
view
30729-8
Spine
Cervical
Odontoid
and
Cervical
axis
X-ray
AP
portable
single
view
30755-3
Spine
Thoracic
X-ray
AP
portable
single
view
24563-9
Abdomen
X-ray
AP
right
lateral-decubitus
43466-2
Chest
X-ray
AP
right
lateral-decubitus
24652-0
Chest
X-ray
AP
right
lateral-decubitus
portable
43778-0
Chest
X-ray
AP
supine
portable
24564-7
Abdomen
X-ray
AP
upright
portable
36960-3
Chest
X-ray
AP
upright
portable
24807-0
Knee
X-ray
AP
single
view
standing
26358-2
Knee
-
bilateral
X-ray
AP
single
view
standing
26359-0
Knee
-
left
X-ray
AP
single
view
standing
26360-8
Knee
-
right
X-ray
AP
single
view
standing
44177-4
Lower
extremity
-
bilateral
X-ray
AP
single
view
standing
38849-6
Lower
extremity
-
left
X-ray
AP
single
view
standing
37733-3
Lower
extremity
-
right
X-ray
AP
single
view
standing
42420-0
Pelvis
X-ray
AP
single
view
standing
42378-0
Spine
Lumbar
X-ray
AP
single
view
W
left
bending
39410-6
Spine
Thoracic
X-ray
AP
single
view
W
left
bending
42379-8
Spine
Lumbar
X-ray
AP
single
view
W
right
bending
39411-4
Spine
Thoracic
X-ray
AP
single
view
W
right
bending
24723-9
Hand
X-ray
arthritis
26355-8
Hand
-
bilateral
X-ray
arthritis
26356-6
Hand
-
left
X-ray
arthritis
26357-4
Hand
-
right
X-ray
arthritis
42395-4
Foot
sesamoid
bones
-
bilateral
X-ray
axial
42396-2
Foot
sesamoid
bones
-
left
X-ray
axial
36962-9
Breast
Mammogram
axillary
37849-7
Shoulder
X-ray
axillary
36963-7
Shoulder
-
bilateral
X-ray
axillary
36964-5
Shoulder
-
left
X-ray
axillary
37800-0
Shoulder
-
right
X-ray
axillary
36965-2
Hand
X-ray
Ball
Catcher
37471-0
Hand
-
bilateral
X-ray
Bora
37472-8
Hand
-
left
X-ray
Bora
38804-1
Hand
-
right
X-ray
Bora
36966-0
Hand
-
bilateral
X-ray
Brewerton
36967-8
Hand
-
left
X-ray
Brewerton
38775-3
Hand
-
right
X-ray
Brewerton
37928-9
Wrist
X-ray
Brewerton
37857-0
Sinuses
X-ray
Caldwell
69132-9
Hip
X-ray
Danelius
Miller
69141-0
Hip
-
left
X-ray
Danelius
Miller
39514-5
Hip
-
right
X-ray
Danelius
Miller
37625-1
Pelvis
X-ray
Ferguson
37650-9
Sacroiliac
Joint
X-ray
Ferguson
65799-9
Kidney
-
bilateral
Fluoroscopy
View
for
cyst
examination
65800-5
Kidney
-
left
Fluoroscopy
View
for
cyst
examination
65801-3
Kidney
-
right
Fluoroscopy
View
for
cyst
examination
37297-9
Abdomen
and
Fetus
X-ray
View
for
fetal
age
39149-0
Gastrointestinal
system
and
Respiratory
system
X-ray
for
foreign
body
36973-6
Hip
X-ray
Friedman
37843-0
Shoulder
X-ray
Garth
36974-4
Shoulder
-
left
X-ray
Garth
37801-8
Shoulder
-
right
X-ray
Garth
37844-8
Shoulder
X-ray
Grashey
37035-3
Shoulder
-
bilateral
X-ray
Grashey
37473-6
Shoulder
-
left
X-ray
Grashey
38805-8
Shoulder
-
right
X-ray
Grashey
36975-1
Calcaneus
-
bilateral
X-ray
Harris
36977-7
Calcaneus
-
left
X-ray
Harris
38776-1
Calcaneus
-
right
X-ray
Harris
36976-9
Foot
X-ray
Harris
36978-5
Knee
X-ray
Holmblad
37628-5
Pelvis
X-ray
inlet
36979-3
Elbow
X-ray
Jones
36980-1
Elbow
-
left
X-ray
Jones
38777-9
Elbow
-
right
X-ray
Jones
36981-9
Hip
X-ray
Judet
36982-7
Hip
-
bilateral
X-ray
Judet
36983-5
Hip
-
left
X-ray
Judet
37732-5
Hip
-
right
X-ray
Judet
36620-3
Chest
X-ray
left
anterior
oblique
36591-6
Abdomen
X-ray
lateral
36592-4
Ankle
X-ray
lateral
39051-8
Chest
X-ray
lateral
36593-2
Femur
X-ray
lateral
36594-0
Finger
fifth
X-ray
lateral
36595-7
Finger
fourth
X-ray
lateral
36596-5
Finger
second
X-ray
lateral
36597-3
Finger
third
X-ray
lateral
36598-1
Foot
-
left
X-ray
lateral
37703-6
Foot
-
right
X-ray
lateral
36599-9
Hand
X-ray
lateral
36600-5
Hand
-
bilateral
X-ray
lateral
36601-3
Hand
-
left
X-ray
lateral
37712-7
Hand
-
right
X-ray
lateral
36602-1
Hip
X-ray
lateral
36603-9
Hip
-
left
X-ray
lateral
37730-9
Hip
-
right
X-ray
lateral
36604-7
Knee
X-ray
lateral
36605-4
Knee
-
bilateral
X-ray
lateral
36606-2
Knee
-
left
X-ray
lateral
37751-5
Knee
-
right
X-ray
lateral
24843-5
Neck
X-ray
lateral
37629-3
Pelvis
X-ray
lateral
39053-4
Ribs
X-ray
lateral
38857-9
Ribs
-
left
X-ray
lateral
37784-6
Ribs
-
right
X-ray
lateral
37858-8
Sinuses
X-ray
lateral
24920-1
Skull
X-ray
lateral
39052-6
Spine
X-ray
lateral
24943-3
Spine
Cervical
X-ray
lateral
24969-8
Spine
Lumbar
X-ray
lateral
30756-1
Spine
Thoracic
X-ray
lateral
37891-9
Thumb
X-ray
lateral
37893-5
Tibia
and
Fibula
X-ray
lateral
37930-5
Wrist
X-ray
lateral
36984-3
Abdomen
X-ray
lateral
crosstable
36985-0
Hip
X-ray
lateral
crosstable
36986-8
Hip
-
bilateral
X-ray
lateral
crosstable
36987-6
Hip
-
left
X-ray
lateral
crosstable
37727-5
Hip
-
right
X-ray
lateral
crosstable
36988-4
Knee
X-ray
lateral
crosstable
37872-9
Skull
X-ray
lateral
crosstable
37878-6
Spine
X-ray
lateral
crosstable
36989-2
Spine
Cervical
X-ray
lateral
crosstable
36990-0
Spine
Lumbar
X-ray
lateral
crosstable
37903-2
Spine
Thoracic
X-ray
lateral
crosstable
36991-8
Spine
Cervical
X-ray
lateral
crosstable
portable
36992-6
Spine
Lumbar
X-ray
lateral
crosstable
portable
30786-8
Hip
X-ray
lateral
frog
36993-4
Hip
-
bilateral
X-ray
lateral
frog
36994-2
Hip
-
left
X-ray
lateral
frog
37729-1
Hip
-
right
X-ray
lateral
frog
37626-9
Pelvis
X-ray
lateral
frog
36999-1
Knee
-
bilateral
X-ray
lateral
hyperextension
37000-7
Knee
-
left
X-ray
lateral
hyperextension
37750-7
Knee
-
right
X-ray
lateral
hyperextension
37909-9
Spine
Thoracic
X-ray
lateral
hyperextension
41774-1
Neck
X-ray
lateral
portable
30757-9
Spine
Thoracic
X-ray
lateral
portable
37515-4
Spine
Lumbosacral
Junction
X-ray
lateral
spot
37516-2
Spine
Lumbosacral
Junction
X-ray
lateral
spot
standing
38066-7
Hip
-
left
X-ray
lateral
during
surgery
38819-9
Hip
-
right
X-ray
lateral
during
surgery
37001-5
Foot
X-ray
lateral
standing
37002-3
Knee
-
left
X-ray
lateral
standing
37754-9
Knee
-
right
X-ray
lateral
standing
42442-4
Spine
X-ray
lateral
standing
37003-1
Spine
Lumbar
X-ray
lateral
standing
37910-7
Spine
Thoracic
X-ray
lateral
standing
36997-5
Spine
Cervical
X-ray
lateral
W
extension
36971-0
Wrist
-
left
X-ray
lateral
W
extension
37833-1
Wrist
-
right
X-ray
lateral
W
extension
36998-3
Spine
Cervical
X-ray
lateral
W
flexion
36972-8
Wrist
-
left
X-ray
lateral
W
flexion
37834-9
Wrist
-
right
X-ray
lateral
W
flexion
37004-9
Knee
X-ray
Laurin
36995-9
Abdomen
X-ray
left
lateral
30737-1
Chest
X-ray
left
lateral
30738-9
Chest
X-ray
left
lateral
portable
24639-7
Chest
X-ray
left
lateral
upright
24638-9
Chest
X-ray
left
lateral
upright
portable
37008-0
Chest
X-ray
left
oblique
37009-8
Spine
Lumbar
X-ray
left
oblique
24641-3
Chest
X-ray
left
oblique
portable
24640-5
Chest
X-ray
lordotic
38069-1
Abdomen
X-ray
left
posterior
oblique
37005-6
Breast
-
left
Mammogram
magnification
37773-9
Breast
-
right
Mammogram
magnification
42441-6
Neck
X-ray
magnification
24801-3
Knee
X-ray
Merchants
26283-2
Knee
-
bilateral
X-ray
Merchants
26284-0
Knee
-
left
X-ray
Merchants
26285-7
Knee
-
right
X-ray
Merchants
37006-4
Breast
-
bilateral
Mammogram
MLO
37007-2
Ankle
X-ray
Mortise
37475-1
Ankle
-
left
X-ray
Mortise
W
manual
stress
37671-5
Ankle
-
right
X-ray
Mortise
W
manual
stress
38067-5
Breast
-
bilateral
Mammogram
nipple
profile
36607-0
Abdomen
X-ray
oblique
single
view
36609-6
Femur
X-ray
oblique
single
view
36610-4
Finger
fifth
X-ray
oblique
single
view
36611-2
Finger
fourth
X-ray
oblique
single
view
36612-0
Finger
second
X-ray
oblique
single
view
36613-8
Finger
third
X-ray
oblique
single
view
36614-6
Foot
X-ray
oblique
single
view
36615-3
Foot
-
left
X-ray
oblique
single
view
37704-4
Foot
-
right
X-ray
oblique
single
view
36616-1
Hand
X-ray
oblique
single
view
36617-9
Hip
X-ray
oblique
single
view
36618-7
Hip
-
bilateral
X-ray
oblique
single
view
42689-0
Spine
X-ray
oblique
single
view
30778-5
Spine
Lumbar
X-ray
oblique
single
view
30758-7
Spine
Thoracic
X-ray
oblique
single
view
37892-7
Thumb
X-ray
oblique
single
view
44178-2
Spine
Lumbar
X-ray
oblique
view
and
(views
W
right
bending
and
W
left
bending)
37545-1
Hip
-
left
X-ray
oblique
crosstable
37728-3
Hip
-
right
X-ray
oblique
crosstable
30759-5
Spine
Thoracic
X-ray
oblique
portable
37631-9
Pelvis
X-ray
outlet
37845-5
Shoulder
X-ray
outlet
37012-2
Shoulder
-
bilateral
X-ray
outlet
37013-0
Shoulder
-
left
X-ray
outlet
37802-6
Shoulder
-
right
X-ray
outlet
36621-1
Hand
X-ray
PA
36622-9
Hand
-
bilateral
X-ray
PA
36623-7
Hand
-
left
X-ray
PA
37714-3
Hand
-
right
X-ray
PA
69270-7
Skull
X-ray
PA
37931-3
Wrist
X-ray
PA
36624-5
Wrist
-
bilateral
X-ray
PA
37015-5
Abdomen
X-ray
PA
prone
24648-8
Chest
X-ray
PA
upright
37014-8
Knee
-
left
X-ray
PA
standing
37755-6
Knee
-
right
X-ray
PA
standing
37477-7
Knee
X-ray
PA
standing
and
W
45
degree
flexion
37476-9
Knee
X-ray
PA
W
45
degree
flexion
39324-9
Wrist
-
left
X-ray
PA
W
clenched
fist
69263-2
Wrist
-
right
X-ray
PA
W
clenched
fist
24828-6
Mandible
X-ray
panorex
24871-6
Pelvis
X-ray
pelvimetry
37998-2
Elbow
X-ray
radial
head
capitellar
37999-0
Elbow
-
bilateral
X-ray
radial
head
capitellar
38000-6
Elbow
-
left
X-ray
radial
head
capitellar
38006-3
Elbow
-
right
X-ray
radial
head
capitellar
38068-3
Chest
X-ray
right
anterior
oblique
36996-7
Abdomen
X-ray
right
lateral
37010-6
Chest
X-ray
right
oblique
37011-4
Spine
Lumbar
X-ray
right
oblique
37018-9
Knee
X-ray
Rosenberg
standing
37020-5
Knee
-
bilateral
X-ray
Rosenberg
standing
37019-7
Knee
-
left
X-ray
Rosenberg
standing
37752-3
Knee
-
right
X-ray
Rosenberg
standing
39323-1
Abdomen
X-ray
right
posterior
oblique
49511-9
Femoral
artery
Fluoroscopic
angiogram
runoff
W
and
WO
contrast
IA
24699-1
Femoral
artery
Fluoroscopic
angiogram
runoff
W
contrast
IA
26178-4
Femoral
artery
-
bilateral
Fluoroscopic
angiogram
runoff
W
contrast
IA
26179-2
Femoral
artery
-
left
Fluoroscopic
angiogram
runoff
W
contrast
IA
26180-0
Femoral
artery
-
right
Fluoroscopic
angiogram
runoff
W
contrast
IA
42812-8
Wrist
X-ray
scaphoid
single
view
42813-6
Wrist
-
bilateral
X-ray
scaphoid
single
view
42814-4
Wrist
-
left
X-ray
scaphoid
single
view
42811-0
Wrist
-
right
X-ray
scaphoid
single
view
44206-1
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
single
view
30714-0
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
42426-7
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
sitting
37659-0
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
standing
42428-3
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
standing
and
in
brace
42429-1
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
standing
and
W
right
bending
42427-5
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
lateral
sitting
37660-8
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
lateral
standing
37846-3
Sternoclavicular
Joint
X-ray
Serendipity
37298-7
Sternoclavicular
joint
-
bilateral
X-ray
Serendipity
37299-5
Sternoclavicular
joint
-
left
X-ray
Serendipity
37808-3
Sternoclavicular
joint
-
right
X-ray
Serendipity
43671-7
Thyroid
Scan
spot
42471-3
Pelvis
X-ray
stereo
42474-7
Skull
X-ray
stereo
39516-0
Shoulder
X-ray
Stryker
Notch
37024-7
Shoulder
-
bilateral
X-ray
Stryker
Notch
37025-4
Shoulder
-
left
X-ray
Stryker
Notch
37791-1
Shoulder
-
right
X-ray
Stryker
Notch
39517-8
Shoulder
X-ray
Stryker
Notch
and
West
Point
37861-2
Sinuses
X-ray
submentovertex
37026-2
Skull
X-ray
submentovertex
43780-6
Knee
X-ray
Sunrise
37027-0
Knee
-
bilateral
X-ray
Sunrise
43779-8
Knee
-
left
X-ray
Sunrise
69256-6
Knee
-
right
X-ray
Sunrise
69239-2
Patella
X-ray
Sunrise
69069-3
Patella
-
bilateral
X-ray
Sunrise
69064-4
Knee
-
bilateral
X-ray
Sunrise
and
(views
standing)
69149-3
Knee
-
left
X-ray
Sunrise
and
(views
standing)
42432-5
Knee
-
right
X-ray
Sunrise
and
(views
standing)
24944-1
Spine
Cervical
X-ray
Swimmers
37028-8
Breast
Mammogram
tangential
37029-6
Breast
-
bilateral
Mammogram
tangential
37030-4
Breast
-
left
Mammogram
tangential
37770-5
Breast
-
right
Mammogram
tangential
37870-3
Skull
X-ray
Towne
24668-6
Colon
Fluoroscopy
transit
Post
solid
contrast
37031-2
Humerus
X-ray
transthoracic
37032-0
Humerus
-
bilateral
X-ray
transthoracic
37033-8
Humerus
-
left
X-ray
transthoracic
38007-1
Humerus
-
right
X-ray
transthoracic
37034-6
Shoulder
-
left
X-ray
transthoracic
38779-5
Shoulder
-
right
X-ray
transthoracic
37300-1
Spine
Lumbosacral
Junction
X-ray
true
AP
37037-9
Breast
Mammogram
true
lateral
37038-7
Breast
-
bilateral
Mammogram
true
lateral
38855-3
Breast
-
left
Mammogram
true
lateral
37771-3
Breast
-
right
Mammogram
true
lateral
37039-5
Hip
X-ray
true
lateral
37040-3
Hip
-
left
X-ray
true
lateral
38772-0
Hip
-
right
X-ray
true
lateral
30790-0
Knee
X-ray
tunnel
37041-1
Knee
-
bilateral
X-ray
tunnel
37042-9
Knee
-
left
X-ray
tunnel
37761-4
Knee
-
right
X-ray
tunnel
38842-1
Wrist
-
left
X-ray
tunnel.carpal
37677-2
Wrist
-
right
X-ray
tunnel.carpal
37043-7
Knee
-
left
X-ray
tunnel
standing
37756-4
Knee
-
right
X-ray
tunnel
standing
37044-5
Wrist
-
left
X-ray
ulnar
deviation
37645-9
Wrist
-
right
X-ray
ulnar
deviation
37045-2
Wrist
-
bilateral
X-ray
ulnar
variance
37046-0
Abdomen
X-ray
upright
37047-8
Shoulder
-
bilateral
X-ray
Velpeau
axillary
37048-6
Shoulder
-
left
X-ray
Velpeau
axillary
38780-3
Shoulder
-
right
X-ray
Velpeau
axillary
37049-4
Hip
X-ray
Von
rossen
37613-7
Orbit
-
bilateral
X-ray
Waters
37863-8
Sinuses
X-ray
Waters
24921-9
Skull
X-ray
Waters
42473-9
Sinuses
X-ray
Waters
stereo
38117-8
Sinuses
X-ray
Waters
upright
30751-2
Shoulder
X-ray
West
Point
37050-2
Shoulder
-
bilateral
X-ray
West
Point
37051-0
Shoulder
-
left
X-ray
West
Point
37809-1
Shoulder
-
right
X-ray
West
Point
42680-9
Breast
Mammogram
XCCL
37052-8
Breast
-
bilateral
Mammogram
XCCL
37053-6
Breast
-
left
Mammogram
XCCL
37772-1
Breast
-
right
Mammogram
XCCL
37656-6
Scapula
X-ray
Y
37055-1
Scapula
-
bilateral
X-ray
Y
37054-4
Scapula
-
left
X-ray
Y
37790-3
Scapula
-
right
X-ray
Y
37847-1
Shoulder
X-ray
Y
38858-7
Shoulder
-
left
X-ray
Y
37805-9
Shoulder
-
right
X-ray
Y
37848-9
Acromioclavicular
Joint
X-ray
Zanca
37056-9
Acromioclavicular
joint
-
bilateral
X-ray
Zanca
37057-7
Acromioclavicular
joint
-
left
X-ray
Zanca
37810-9
Acromioclavicular
joint
-
right
X-ray
Zanca
41793-1
Abdomen
X-ray
during
surgery
41790-7
Chest
X-ray
during
surgery
24656-1
Chest
Fluoroscopy
during
surgery
39047-6
Hip
Fluoroscopy
during
surgery
38065-9
Hip
-
left
X-ray
during
surgery
38818-1
Hip
-
right
X-ray
during
surgery
42008-3
Humerus
X-ray
during
surgery
24893-0
Rectum
Fluoroscopy
post
contrast
PR
during
defecation
37058-5
Calcaneus
-
bilateral
X-ray
standing
37059-3
Hip
-
bilateral
X-ray
standing
37207-8
Hip
-
left
X-ray
standing
37731-7
Hip
-
right
X-ray
standing
44205-3
Lower
extremity
-
bilateral
X-ray
standing
38850-4
Lower
extremity
-
left
X-ray
standing
37734-1
Lower
extremity
-
right
X-ray
standing
37633-5
Pelvis
X-ray
standing
39144-1
Gastrointestine
upper
Fluoroscopy
W
air
contrast
PO
41795-6
Upper
Gastrointestine
and
Small
bowel
Fluoroscopy
W
air
contrast
PO
69302-8
Wrist
X-ray
W
clenched
fist
36968-6
Wrist
-
bilateral
X-ray
W
clenched
fist
30639-9
Vessel
Fluoroscopic
angiogram
W
contrast
42470-5
Gastrointestine
upper
and
Gallbladder
Fluoroscopy
W
contrast
PO
30809-8
Upper
Gastrointestine
and
Small
bowel
Fluoroscopy
W
contrast
PO
42469-7
Gastrointestine
upper
and
Small
bowel
and
Gallbladder
Fluoroscopy
W
contrast
PO
38001-4
Chest
X-ray
W
expiration
38002-2
Chest
X-ray
W
inspiration
37060-1
Fetal
X-ray
37636-8
Abdomen
X-ray
46341-4
Abdomen
Fluoroscopy
24535-7
Acetabulum
X-ray
26133-9
Acetabulum
-
bilateral
X-ray
26134-7
Acetabulum
-
left
X-ray
26135-4
Acetabulum
-
right
X-ray
24536-5
Acromioclavicular
Joint
X-ray
26136-2
Acromioclavicular
joint
-
bilateral
X-ray
26137-0
Acromioclavicular
joint
-
left
X-ray
26138-8
Acromioclavicular
joint
-
right
X-ray
24541-5
Ankle
X-ray
26097-6
Ankle
-
bilateral
X-ray
26098-4
Ankle
-
left
X-ray
51395-2
Ankle
-
left
and
Foot.left
X-ray
26099-2
Ankle
-
right
X-ray
51394-5
Ankle
-
right
and
Foot
-
right
X-ray
36625-2
Breast
Mammogram
46342-2
Breast
FFD
mammogram
38070-9
Breast
implant
Mammogram
38071-7
Breast
implant
-
bilateral
Mammogram
38072-5
Breast
implant
-
left
Mammogram
38820-7
Breast
implant
-
right
Mammogram
46380-2
Breast
Implant
-
unilateral
Mammogram
24597-7
Breast
specimen
Mammogram
38079-0
Breast
specimen
-
bilateral
Mammogram
38080-8
Breast
specimen
-
left
Mammogram
38821-5
Breast
specimen
-
right
Mammogram
36626-0
Breast
-
bilateral
Mammogram
36627-8
Breast
-
left
Mammogram
37774-7
Breast
-
right
Mammogram
46339-8
Breast
-
unilateral
Mammogram
24612-4
Calcaneus
X-ray
26100-8
Calcaneus
-
bilateral
X-ray
26101-6
Calcaneus
-
left
X-ray
26102-4
Calcaneus
-
right
X-ray
30745-4
Chest
X-ray
30631-6
Chest
Fluoroscopy
42269-1
Chest
and
Abdomen
X-ray
24664-5
Clavicle
X-ray
26106-5
Clavicle
-
bilateral
X-ray
26107-3
Clavicle
-
left
X-ray
26108-1
Clavicle
-
right
X-ray
30883-3
Coccyx
X-ray
24676-9
Elbow
X-ray
26109-9
Elbow
-
bilateral
X-ray
26110-7
Elbow
-
left
X-ray
26111-5
Elbow
-
right
X-ray
46381-0
Elbow+Radius+Ulna
X-ray
37637-6
Extremity
X-ray
24695-9
Facial
bones
X-ray
37303-5
Facial
bones
and
Zygomatic
arch
X-ray
24704-9
Femur
X-ray
26118-0
Femur
-
bilateral
X-ray
26120-6
Femur
-
left
X-ray
26122-2
Femur
-
right
X-ray
24706-4
Finger
X-ray
26124-8
Finger
-
bilateral
X-ray
30783-5
Finger
fifth
X-ray
37517-0
Finger
fifth
-
bilateral
X-ray
37518-8
Finger
fifth
-
left
X-ray
38147-5
Finger
fifth
-
right
X-ray
30782-7
Finger
fourth
X-ray
37519-6
Finger
fourth
-
bilateral
X-ray
37520-4
Finger
fourth
-
left
X-ray
38146-7
Finger
fourth
-
right
X-ray
26125-5
Finger
-
left
X-ray
26126-3
Finger
-
right
X-ray
30780-1
Finger
second
X-ray
37521-2
Finger
second
-
bilateral
X-ray
37522-0
Finger
second
-
left
X-ray
38144-2
Finger
second
-
right
X-ray
30781-9
Finger
third
X-ray
37523-8
Finger
third
-
bilateral
X-ray
37524-6
Finger
third
-
left
X-ray
38145-9
Finger
third
-
right
X-ray
24709-8
Foot
X-ray
26127-1
Foot
-
bilateral
X-ray
26128-9
Foot
-
left
X-ray
26129-7
Foot
-
right
X-ray
42399-6
Foot
sesamoid
bones
X-ray
42400-2
Foot
sesamoid
bones
-
bilateral
X-ray
43641-0
Foot
sesamoid
bones
-
left
X-ray
42434-1
Foot
sesamoid
bones
-
right
X-ray
37532-9
Great
toe
-
bilateral
X-ray
37533-7
Great
toe
-
left
X-ray
38152-5
Great
toe
-
right
X-ray
28582-5
Hand
X-ray
36629-4
Hand
-
bilateral
X-ray
36630-2
Hand
-
left
X-ray
37716-8
Hand
-
right
X-ray
24752-8
Heart
Fluoroscopy
video
24762-7
Hip
X-ray
26130-5
Hip
-
bilateral
X-ray
26131-3
Hip
-
left
X-ray
26132-1
Hip
-
right
X-ray
28567-6
Humerus
X-ray
37319-1
Humerus
bicipital
groove
X-ray
37321-7
Humerus
bicipital
groove
-
bilateral
X-ray
37320-9
Humerus
bicipital
groove
-
left
X-ray
38797-7
Humerus
bicipital
groove
-
right
X-ray
37062-7
Humerus
-
bilateral
X-ray
36632-8
Humerus
-
left
X-ray
37738-2
Humerus
-
right
X-ray
36628-6
Internal
auditory
canal
X-ray
28565-0
Knee
X-ray
36635-1
Knee
-
bilateral
X-ray
36636-9
Knee
-
left
X-ray
37758-0
Knee
-
right
X-ray
48465-9
Larynx
Fluoroscopy
24686-8
Lower
extremity
X-ray
26112-3
Lower
extremity
-
bilateral
X-ray
26113-1
Lower
extremity
-
left
X-ray
26114-9
Lower
extremity
-
right
X-ray
24829-4
Mandible
X-ray
48745-4
Mandible
-
left
X-ray
43533-9
Mandible
-
right
X-ray
24830-2
Mastoid
X-ray
26139-6
Mastoid
-
bilateral
X-ray
26140-4
Mastoid
-
left
X-ray
26141-2
Mastoid
-
right
X-ray
36637-7
Maxilla
X-ray
24834-4
Nasal
bones
X-ray
37639-2
Neck
X-ray
37332-4
Olecranon
-
left
X-ray
38798-5
Olecranon
-
right
X-ray
24846-8
Optic
foramen
X-ray
26142-0
Optic
foramen
-
bilateral
X-ray
26143-8
Optic
foramen
-
left
X-ray
26144-6
Optic
foramen
-
right
X-ray
36886-0
Orbit
X-ray
24854-2
Orbit
-
bilateral
X-ray
36887-8
Orbit
-
left
X-ray
38774-6
Orbit
-
right
X-ray
43529-7
Orbit
+
Facial
bones
X-ray
24855-9
Oropharynx
Fluoroscopy
video
30791-8
Patella
X-ray
36638-5
Patella
-
bilateral
X-ray
36639-3
Patella
-
left
X-ray
37777-0
Patella
-
right
X-ray
28561-9
Pelvis
X-ray
30885-8
Pelvis
symphysis
pubis
X-ray
30767-8
Pelvis
and
Hip
X-ray
30768-6
Pelvis
and
Hip
-
bilateral
X-ray
36631-0
Pelvis
and
Hip
-
left
X-ray
38771-2
Pelvis
and
Hip
-
right
X-ray
47984-0
Pelvis
and
Spine
Lumbar
X-ray
24745-2
Petrous
bone
X-ray
26146-1
Radius
-
bilateral
and
Ulna
-
bilateral
X-ray
26148-7
Radius
-
left
and
Ulna.left
X-ray
26150-3
Radius
-
right
and
Ulna
-
right
X-ray
24891-4
Radius
and
Ulna
X-ray
24899-7
Ribs
X-ray
37937-0
Ribs
anterior
X-ray
38073-3
Ribs
anterior
-
bilateral
X-ray
38074-1
Ribs
anterior
-
left
X-ray
37963-6
Ribs
anterior
-
right
X-ray
38868-6
Ribs
anterior
and
posterior
-
left
X-ray
37962-8
Ribs
anterior
and
posterior
-
right
X-ray
26151-1
Ribs
-
bilateral
X-ray
69071-9
Ribs
-
bilateral
and
Chest
X-ray
26152-9
Ribs
-
left
X-ray
39326-4
Ribs
-
left
and
Chest
X-ray
38866-0
Ribs
lower
-
left
X-ray
39489-0
Ribs
lower
posterior
X-ray
42381-4
Ribs
lower
posterior
-
left
X-ray
39493-2
Ribs
lower
posterior
-
right
X-ray
37960-2
Ribs
lower
-
right
X-ray
37938-8
Ribs
posterior
X-ray
39352-0
Ribs
posterior
-
bilateral
X-ray
38869-4
Ribs
posterior
-
left
X-ray
37964-4
Ribs
posterior
-
right
X-ray
26153-7
Ribs
-
right
X-ray
39351-2
Ribs
upper
anterior
and
posterior
-
left
X-ray
39491-6
Ribs
upper
anterior
and
posterior
-
right
X-ray
38867-8
Ribs
upper
-
left
X-ray
39353-8
Ribs
upper
posterior
-
left
X-ray
39492-4
Ribs
upper
posterior
-
right
X-ray
37961-0
Ribs
upper
-
right
X-ray
24900-3
Sacroiliac
Joint
X-ray
36633-6
Sacroiliac
joint
-
bilateral
X-ray
36634-4
Sacroiliac
joint
-
left
X-ray
37786-1
Sacroiliac
joint
-
right
X-ray
30884-1
Sacrum
X-ray
24665-2
Sacrum
and
Coccyx
X-ray
39058-3
Salivary
gland
X-ray
24903-7
Scapula
X-ray
26154-5
Scapula
-
bilateral
X-ray
26155-2
Scapula
-
left
X-ray
26156-0
Scapula
-
right
X-ray
42159-4
Sella
turcica
X-ray
24909-4
Shoulder
X-ray
26157-8
Shoulder
-
bilateral
X-ray
26158-6
Shoulder
-
left
X-ray
26159-4
Shoulder
-
right
X-ray
42160-2
Shunt
X-ray
24911-0
Shunt
Fluoroscopy
24916-9
Sinuses
X-ray
28564-3
Skull
X-ray
48697-7
Skull.base
X-ray
37338-1
Skull
and
Facial
bones
and
Mandible
X-ray
28613-8
Spine
X-ray
24946-6
Spine
Cervical
X-ray
36640-1
Spine
Cervical
Fluoroscopy
43538-8
Spine
Cervical
Fluoroscopy
video
37481-9
Spine
Cervical
and
Spine
Thoracic
X-ray
38008-9
Spine
Cervical
and
Thoracic
and
Lumbar
X-ray
43781-4
Spine
Cervicothoracic
Junction
X-ray
24972-2
Spine
Lumbar
X-ray
43536-2
Spine
Lumbar
Fluoroscopy
video
24975-5
Spine.lumbar
and
Sacroiliac
joint
-
bilateral
X-ray
37340-7
Spine
Lumbar
and
Sacrum
X-ray
37341-5
Spine
Lumbar
and
Sacrum
and
Coccyx
X-ray
37342-3
Spine
Lumbar
and
Sacrum
and
Sacroiliac
Joint
and
Coccyx
X-ray
46340-6
Spine
Lumbosacral
Junction
X-ray
24983-9
Spine
Thoracic
X-ray
42692-4
Spine
Thoracic
and
Lumbar
X-ray
37975-0
Spine
Thoracolumbar
Junction
X-ray
37323-3
Sternoclavicular
joint
-
bilateral
X-ray
37324-1
Sternoclavicular
joint
-
left
X-ray
37965-1
Sternoclavicular
joint
-
right
X-ray
24993-8
Sternoclavicular
Joints
X-ray
24994-6
Sternum
X-ray
72876-6
Surgical
specimen
X-ray
25000-1
Temporomandibular
joint
X-ray
37325-8
Temporomandibular
joint
-
bilateral
X-ray
30889-0
Temporomandibular
joint
-
left
X-ray
30890-8
Temporomandibular
joint
-
right
X-ray
25006-8
Thumb
X-ray
26160-2
Thumb
-
bilateral
X-ray
26161-0
Thumb
-
left
X-ray
26162-8
Thumb
-
right
X-ray
26163-6
Tibia
-
bilateral
and
Fibula
-
bilateral
X-ray
26164-4
Tibia
-
left
and
Fibula
-
left
X-ray
26165-1
Tibia
-
right
and
Fibula
-
right
X-ray
25011-8
Tibia
and
Fibula
X-ray
37530-3
Toe
fifth
-
left
X-ray
38151-7
Toe
fifth
-
right
X-ray
37531-1
Toe
fourth
-
left
X-ray
38150-9
Toe
fourth
-
right
X-ray
37534-5
Toe
second
-
left
X-ray
38148-3
Toe
second
-
right
X-ray
37535-2
Toe
third
-
left
X-ray
38149-1
Toe
third
-
right
X-ray
25013-4
Toes
X-ray
26166-9
Toes
-
bilateral
X-ray
26167-7
Toes
-
left
X-ray
26168-5
Toes
-
right
X-ray
44238-4
Trachea
X-ray
48464-2
Trachea
Fluoroscopy
24689-2
Upper
extremity
X-ray
26115-6
Upper
extremity
-
bilateral
X-ray
26116-4
Upper
extremity
-
left
X-ray
26117-2
Upper
extremity
-
right
X-ray
24619-9
Wrist
X-ray
26169-3
Wrist
-
bilateral
X-ray
26170-1
Wrist
-
left
X-ray
51392-9
Wrist
-
left
and
Hand
-
left
X-ray
26171-9
Wrist
-
right
X-ray
51388-7
Wrist
-
right
and
Hand
-
right
X-ray
43468-8
Unspecified
body
region
X-ray
49512-7
Unspecified
body
region
Fluoroscopy
25074-6
Zygomatic
arch
X-ray
26172-7
Zygomatic
arch
-
bilateral
X-ray
26173-5
Zygomatic
arch
-
left
X-ray
26174-3
Zygomatic
arch
-
right
X-ray
51387-9
Knee
-
bilateral
X-ray
and
(AP
view
standing)
39370-2
Ankle
-
right
X-ray
and
(view
W
manual
stress)
30635-7
Gastrointestine
upper
Fluoroscopy
and
AP
W
contrast
PO
42162-8
Gastrointestine
upper
Fluoroscopy
and
AP
W
water
soluble
contrast
PO
39400-7
Wrist
-
right
X-ray
and
carpal
tunnel
69131-1
Hip
X-ray
and
Danelius
Miller
69140-2
Hip
-
left
X-ray
and
Danelius
Miller
39513-7
Hip
-
right
X-ray
and
Danelius
Miller
39360-3
Pelvis
X-ray
and
inlet
and
outlet
69059-4
Hip
-
bilateral
X-ray
and
lateral
crosstable
69139-4
Hip
-
left
X-ray
and
lateral
crosstable
39377-7
Hip
-
right
X-ray
and
lateral
crosstable
37583-2
Pelvis
and
Hip
-
bilateral
X-ray
and
lateral
frog
39372-8
Ankle
-
right
X-ray
and
Mortise
39373-6
Elbow
-
right
X-ray
and
oblique
39390-0
Knee
-
right
X-ray
and
oblique
39511-1
Pelvis
X-ray
and
oblique
39376-9
Radius
-
right
and
Ulna
-
right
X-ray
and
oblique
42164-4
Spine
Cervical
X-ray
and
oblique
42163-6
Spine
Lumbar
X-ray
and
oblique
39414-8
Spine
Thoracic
X-ray
and
oblique
39398-3
Tibia
-
right
and
Fibula
-
right
X-ray
and
oblique
69056-0
Elbow
-
bilateral
X-ray
and
obliques
41811-1
Ribs
-
bilateral
and
Chest
X-ray
and
PA
chest
41832-7
Ribs
-
left
and
Chest
X-ray
and
PA
chest
42010-9
Ribs
-
right
and
Chest
X-ray
and
PA
chest
42165-1
Ribs
and
Chest
X-ray
and
PA
chest
46389-3
Elbow
-
bilateral
X-ray
and
radial
head
capitellar
39391-8
Knee
-
right
X-ray
and
Sunrise
39412-2
Spine
Thoracic
X-ray
and
Swimmers
69148-5
Knee
-
left
X-ray
and
tunnel
39389-2
Knee
-
right
X-ray
and
tunnel
30694-4
Thyroid
Scan
and
uptake.single
42271-7
Thyroid
Scan
and
uptake
W
I-123
IV
60527-9
Thyroid
Scan
and
uptake
W
I-123
PO
25008-4
Thyroid
Scan
and
uptake
W
I-131
IV
69236-8
Thyroid
Scan
and
uptake
W
I-131
PO
43672-5
Thyroid
Scan
and
uptake
44147-7
Thyroid
Scan
and
uptake
W
Tc-99m
pertechnetate
IV
42405-1
Knee
X-ray
(AP^standing)
and
(lateral^W
hyperextension)
42401-0
Spine
Lumbar
X-ray
(AP
W
R-bending
and
W
L-bending
and
WO
bending)
and
Lateral
42411-9
Spine
Lumbar
X-ray
(AP^W
R-bending
and
W
L-bending)
and
(lateral^W
flexion
and
W
extension)
39392-6
Shoulder
-
right
X-ray
(W
internal
rotation
and
W
external
rotation)
and
axillary
44199-8
Facial
bones
X-ray
1
or
2
views
44198-0
Knee
X-ray
1
or
2
views
47373-6
Knee
-
left
X-ray
1
or
2
views
47375-1
Knee
-
right
X-ray
1
or
2
views
43521-4
Mandible
X-ray
1
or
2
views
47983-2
Mastoid
-
bilateral
X-ray
1
or
2
views
48489-9
Mastoid
-
left
X-ray
1
or
2
views
48488-1
Mastoid
-
right
X-ray
1
or
2
views
43522-2
Pelvis
X-ray
1
or
2
views
48467-5
Sacroiliac
Joint
X-ray
1
or
2
views
43523-0
Sinuses
X-ray
1
or
2
views
44202-0
Knee
X-ray
1
or
2
views
portable
44201-2
Pelvis
X-ray
1
or
2
views
portable
36641-9
Abdomen
X-ray
2
views
37064-3
Acetabulum
-
left
X-ray
2
views
37664-0
Acetabulum
-
right
X-ray
2
views
36665-8
Acromioclavicular
joint
-
left
X-ray
2
views
37661-6
Acromioclavicular
joint
-
right
X-ray
2
views
24540-7
Ankle
X-ray
2
views
26385-5
Ankle
-
bilateral
X-ray
2
views
26386-3
Ankle
-
left
X-ray
2
views
26387-1
Ankle
-
right
X-ray
2
views
36642-7
Breast
-
left
Mammogram
2
views
37768-9
Breast
-
right
Mammogram
2
views
36661-7
Calcaneus
X-ray
2
views
48433-7
Calcaneus
-
bilateral
X-ray
2
views
36662-5
Calcaneus
-
left
X-ray
2
views
37718-4
Calcaneus
-
right
X-ray
2
views
36643-5
Chest
X-ray
2
views
36644-3
Chest
Fluoroscopy
2
views
36645-0
Clavicle
X-ray
2
views
36646-8
Clavicle
-
left
X-ray
2
views
37679-8
Clavicle
-
right
X-ray
2
views
36647-6
Coccyx
X-ray
2
views
36648-4
Elbow
X-ray
2
views
36649-2
Elbow
-
bilateral
X-ray
2
views
36650-0
Elbow
-
left
X-ray
2
views
37681-4
Elbow
-
right
X-ray
2
views
36652-6
Femur
X-ray
2
views
36653-4
Femur
-
bilateral
X-ray
2
views
36654-2
Femur
-
left
X-ray
2
views
37690-5
Femur
-
right
X-ray
2
views
36655-9
Finger
X-ray
2
views
36656-7
Finger
-
left
X-ray
2
views
37694-7
Finger
-
right
X-ray
2
views
30784-3
Foot
X-ray
2
views
36657-5
Foot
-
bilateral
X-ray
2
views
38846-2
Foot
-
left
X-ray
2
views
37697-0
Foot
-
right
X-ray
2
views
24721-3
Hand
X-ray
2
views
26388-9
Hand
-
bilateral
X-ray
2
views
26389-7
Hand
-
left
X-ray
2
views
26390-5
Hand
-
right
X-ray
2
views
36663-3
Hip
X-ray
2
views
69058-6
Hip
-
bilateral
X-ray
2
views
36664-1
Hip
-
left
X-ray
2
views
37721-8
Hip
-
right
X-ray
2
views
24765-0
Humerus
X-ray
2
views
26391-3
Humerus
-
bilateral
X-ray
2
views
26392-1
Humerus
-
left
X-ray
2
views
26393-9
Humerus
-
right
X-ray
2
views
24806-2
Knee
X-ray
2
views
26394-7
Knee
-
bilateral
X-ray
2
views
26395-4
Knee
-
left
X-ray
2
views
26396-2
Knee
-
right
X-ray
2
views
36651-8
Lower
extremity
X-ray
2
views
69257-4
Lower
extremity
-
right
X-ray
2
views
24861-7
Patella
X-ray
2
views
26397-0
Patella
-
bilateral
X-ray
2
views
26398-8
Patella
-
left
X-ray
2
views
26399-6
Patella
-
right
X-ray
2
views
37617-8
Pelvis
X-ray
2
views
42685-8
Pelvis
and
Hip
-
left
X-ray
2
views
42686-6
Pelvis
and
Hip
-
right
X-ray
2
views
36659-1
Radius
-
bilateral
and
Ulna
-
bilateral
X-ray
2
views
36660-9
Radius
-
left
and
Ulna.left
X-ray
2
views
37707-7
Radius
-
right
and
Ulna
-
right
X-ray
2
views
36658-3
Radius
and
Ulna
X-ray
2
views
39060-9
Ribs
X-ray
2
views
42687-4
Ribs
-
bilateral
X-ray
2
views
37066-8
Ribs
-
left
X-ray
2
views
37780-4
Ribs
-
right
X-ray
2
views
37651-7
Sacrum
X-ray
2
views
44179-0
Sacrum
and
Coccyx
X-ray
2
views
37655-8
Scapula
X-ray
2
views
36666-6
Scapula
-
left
X-ray
2
views
37787-9
Scapula
-
right
X-ray
2
views
42435-8
Sella
turcica
X-ray
2
views
37840-6
Shoulder
X-ray
2
views
36667-4
Shoulder
-
bilateral
X-ray
2
views
36668-2
Shoulder
-
left
X-ray
2
views
37793-7
Shoulder
-
right
X-ray
2
views
37853-9
Sinuses
X-ray
2
views
37867-9
Skull
X-ray
2
views
37879-4
Spine
X-ray
2
views
36669-0
Spine
Cervical
X-ray
2
views
43784-8
Spine
Cervical
and
Thoracic
and
Lumbar
X-ray
2
views
36670-8
Spine
Lumbar
X-ray
2
views
37905-7
Spine
Thoracic
X-ray
2
views
24984-7
Spine
Thoracic
and
Lumbar
X-ray
2
views
69273-1
Spine
Thoracolumbar
Junction
X-ray
2
views
37883-6
Sternum
X-ray
2
views
36671-6
Tibia
-
bilateral
and
Fibula
-
bilateral
X-ray
2
views
36672-4
Tibia
-
left
and
Fibula
-
left
X-ray
2
views
37815-8
Tibia
-
right
and
Fibula
-
right
X-ray
2
views
37895-0
Tibia
and
Fibula
X-ray
2
views
37902-4
Toes
X-ray
2
views
37348-0
Toes
-
bilateral
X-ray
2
views
36673-2
Toes
-
left
X-ray
2
views
37821-6
Toes
-
right
X-ray
2
views
37922-2
Upper
extremity
X-ray
2
views
37925-5
Wrist
X-ray
2
views
37482-7
Wrist
-
bilateral
X-ray
2
views
37483-5
Wrist
-
left
X-ray
2
views
37826-5
Wrist
-
right
X-ray
2
views
69305-1
Zygomatic
arch
X-ray
2
views
42430-9
Knee
-
right
X-ray
2
views
and
(views
standing)
42009-1
Chest
X-ray
2
views
and
apical
39378-5
Knee
-
right
X-ray
2
views
and
oblique
48468-3
Ribs
-
bilateral
and
Chest
X-ray
2
views
and
PA
chest
43467-0
Chest
X-ray
2
views
and
right
oblique
and
left
oblique
69060-2
Knee
-
bilateral
X-ray
2
views
and
Sunrise
69142-8
Knee
-
left
X-ray
2
views
and
Sunrise
39379-3
Knee
-
right
X-ray
2
views
and
Sunrise
39380-1
Knee
-
right
X-ray
2
views
and
Sunrise
and
tunnel
69061-0
Knee
-
bilateral
X-ray
2
views
and
tunnel
41819-4
Knee
-
left
X-ray
2
views
and
tunnel
39381-9
Knee
-
right
X-ray
2
views
and
tunnel
69143-6
Knee
-
left
X-ray
2
views
and
tunnel
standing
39382-7
Knee
-
right
X-ray
2
views
and
tunnel
standing
38118-6
Neck
X-ray
2
views
lateral
38844-7
Elbow
-
left
X-ray
2
views
Oblique
37686-3
Elbow
-
right
X-ray
2
views
Oblique
38871-0
Knee
-
left
X-ray
2
views
Oblique
38108-7
Knee
-
right
X-ray
2
views
Oblique
38874-4
Tibia
-
left
and
Fibula
-
left
X-ray
2
views
Oblique
38114-5
Tibia
-
right
and
Fibula
-
right
X-ray
2
views
Oblique
44181-6
Sacroiliac
Joint
X-ray
2
or
3
views
43539-6
Spine
Cervical
X-ray
2
or
3
views
48469-1
Spine
Lumbar
X-ray
2
or
3
views
39880-0
Bone
Scan
2
views
phase
44184-0
Elbow
X-ray
2
views
portable
44182-4
Hand
X-ray
2
views
portable
44183-2
Radius
and
Ulna
X-ray
2
views
portable
36674-0
Spine
Lumbar
X-ray
2
views
portable
37658-2
Spine
Thoracic
and
Lumbar
X-ray
2
views
scoliosis
38843-9
Wrist
-
left
X-ray
2
views
tunnel.carpal
37678-0
Wrist
-
right
X-ray
2
views
tunnel.carpal
42166-9
Heart
Scan
2
views
at
rest
and
W
Tl-201
IV
38841-3
Ankle
-
left
X-ray
2
views
standing
37675-6
Ankle
-
right
X-ray
2
views
standing
37068-4
Foot
-
bilateral
X-ray
2
views
standing
37069-2
Foot
-
left
X-ray
2
views
standing
37698-8
Foot
-
right
X-ray
2
views
standing
36945-4
Knee
-
bilateral
X-ray
2
views
standing
38851-2
Knee
-
left
X-ray
2
views
standing
37762-2
Knee
-
right
X-ray
2
views
standing
36946-2
Spine
Lumbar
X-ray
2
views
standing
69274-9
Spine
Thoracic
X-ray
2
views
standing
38840-5
Ankle
-
left
X-ray
2
views
W
manual
stress
37672-3
Ankle
-
right
X-ray
2
views
W
manual
stress
37067-6
Chest
X-ray
2
views
W
nipple
markers
36293-9
Abdomen
X-ray
3
views
37635-0
Acetabulum
X-ray
3
views
36294-7
Ankle
X-ray
3
views
36295-4
Ankle
-
bilateral
X-ray
3
views
36296-2
Ankle
-
left
X-ray
3
views
37665-7
Ankle
-
right
X-ray
3
views
36298-8
Chest
X-ray
3
views
36299-6
Elbow
X-ray
3
views
36300-2
Elbow
-
bilateral
X-ray
3
views
36301-0
Elbow
-
left
X-ray
3
views
37682-2
Elbow
-
right
X-ray
3
views
36297-0
Facial
bones
X-ray
3
views
36302-8
Femur
X-ray
3
views
36303-6
Finger
X-ray
3
views
36304-4
Finger
-
left
X-ray
3
views
37695-4
Finger
-
right
X-ray
3
views
36305-1
Foot
X-ray
3
views
36306-9
Foot
-
bilateral
X-ray
3
views
36307-7
Foot
-
left
X-ray
3
views
37699-6
Foot
-
right
X-ray
3
views
24722-1
Hand
X-ray
3
views
26379-8
Hand
-
bilateral
X-ray
3
views
26380-6
Hand
-
left
X-ray
3
views
26381-4
Hand
-
right
X-ray
3
views
36308-5
Hip
-
bilateral
X-ray
3
views
36309-3
Hip
-
left
X-ray
3
views
37722-6
Hip
-
right
X-ray
3
views
30788-4
Knee
X-ray
3
views
36310-1
Knee
-
bilateral
X-ray
3
views
36311-9
Knee
-
left
X-ray
3
views
37742-4
Knee
-
right
X-ray
3
views
36312-7
Mandible
X-ray
3
views
36838-1
Mastoid
X-ray
3
views
48470-9
Mastoid
-
left
X-ray
3
views
48471-7
Mastoid
-
right
X-ray
3
views
37604-6
Nasal
bones
X-ray
3
views
69261-6
Patella
-
right
X-ray
3
views
30766-0
Pelvis
X-ray
3
views
37256-5
Pelvis
and
Spine
Lumbar
X-ray
3
views
39062-5
Ribs
X-ray
3
views
36313-5
Ribs
-
bilateral
X-ray
3
views
36314-3
Ribs
-
left
X-ray
3
views
37781-2
Ribs
-
right
X-ray
3
views
37648-3
Sacroiliac
Joint
X-ray
3
views
39061-7
Sacrum
and
Coccyx
X-ray
3
views
24908-6
Shoulder
X-ray
3
views
26382-2
Shoulder
-
bilateral
X-ray
3
views
26383-0
Shoulder
-
left
X-ray
3
views
26384-8
Shoulder
-
right
X-ray
3
views
37854-7
Sinuses
X-ray
3
views
24918-5
Skull
X-ray
3
views
24941-7
Spine
Cervical
X-ray
3
views
30775-1
Spine
Lumbar
X-ray
3
views
37257-3
Spine
Lumbar
and
Sacroiliac
Joint
X-ray
3
views
37259-9
Spine
Lumbar
and
Sacrum
X-ray
3
views
37260-7
Spine
Lumbar
and
Sacrum
and
Coccyx
X-ray
3
views
37261-5
Spine
Lumbar
and
Sacrum
and
Sacroiliac
Joint
and
Coccyx
X-ray
3
views
37906-5
Spine
Thoracic
X-ray
3
views
37881-0
Sternoclavicular
Joint
X-ray
3
views
37888-5
Thumb
X-ray
3
views
36315-0
Thumb
-
left
X-ray
3
views
37812-5
Thumb
-
right
X-ray
3
views
36316-8
Toes
-
left
X-ray
3
views
37820-8
Toes
-
right
X-ray
3
views
37926-3
Wrist
X-ray
3
views
37454-6
Wrist
-
bilateral
X-ray
3
views
48738-9
Wrist
-
bilateral
and
Hand
-
bilateral
X-ray
3
views
37455-3
Wrist
-
left
X-ray
3
views
37827-3
Wrist
-
right
X-ray
3
views
48737-1
Wrist
and
Hand
X-ray
3
views
37933-9
Zygomatic
arch
X-ray
3
views
69154-3
Shoulder
-
left
X-ray
3
views
and
axillary
39393-4
Shoulder
-
right
X-ray
3
views
and
axillary
39399-1
Wrist
-
right
X-ray
3
views
and
carpal
tunnel
39364-5
Wrist
-
right
X-ray
3
views
and
radial
deviation
39404-9
Sinuses
X-ray
3
views
and
submentovertex
39383-5
Knee
-
right
X-ray
3
views
and
Sunrise
48472-5
Spine
Thoracic
X-ray
3
views
and
Swimmers
39365-2
Wrist
-
right
X-ray
3
views
and
ulnar
deviation
69155-0
Shoulder
-
left
X-ray
3
views
and
Y
39394-2
Shoulder
-
right
X-ray
3
views
and
Y
43499-3
Foot
-
left
X-ray
3
or
4
views
43483-7
Foot
-
right
X-ray
3
or
4
views
39901-4
Bone
Scan
3
views
phase
multiple
areas
39902-2
Bone
Scan
3
views
phase
single
area
39882-6
Bone
Scan
3
views
phase
whole
body
39883-4
Bone
Scan
3
views
phase
30776-9
Spine
Lumbar
X-ray
3
views
portable
69151-9
Wrist
-
left
X-ray
3
views
scaphoid
24778-3
Kidney
-
bilateral
X-ray
3
views
serial
W
and
WO
contrast
IV
69138-6
Ankle
-
left
X-ray
3
views
standing
69254-1
Ankle
-
right
X-ray
3
views
standing
36947-0
Foot
-
bilateral
X-ray
3
views
standing
36948-8
Foot
-
left
X-ray
3
views
standing
37700-2
Foot
-
right
X-ray
3
views
standing
36949-6
Spine
Lumbar
X-ray
3
views
standing
42443-2
Spine
Thoracic
X-ray
3
views
standing
36317-6
Ankle
X-ray
4
views
36319-2
Breast
Mammogram
4
views
36320-0
Chest
X-ray
4
views
36321-8
Chest
Fluoroscopy
4
views
36322-6
Elbow
-
bilateral
X-ray
4
views
36323-4
Elbow
-
left
X-ray
4
views
37683-0
Elbow
-
right
X-ray
4
views
36318-4
Facial
bones
X-ray
4
views
36324-2
Femur
-
left
X-ray
4
views
37691-3
Femur
-
right
X-ray
4
views
30789-2
Knee
X-ray
4
views
36325-9
Knee
-
bilateral
X-ray
4
views
36326-7
Knee
-
left
X-ray
4
views
37743-2
Knee
-
right
X-ray
4
views
36327-5
Mandible
X-ray
4
views
43534-7
Mandible
-
left
X-ray
4
views
43535-4
Mandible
-
right
X-ray
4
views
36839-9
Mastoid
X-ray
4
views
37609-5
Optic
foramen
X-ray
4
views
37612-9
Orbit
-
bilateral
X-ray
4
views
36328-3
Ribs
-
bilateral
X-ray
4
views
69265-7
Shoulder
X-ray
4
views
36329-1
Shoulder
-
bilateral
X-ray
4
views
36330-9
Shoulder
-
left
X-ray
4
views
37794-5
Shoulder
-
right
X-ray
4
views
37855-4
Sinuses
X-ray
4
views
37868-7
Skull
X-ray
4
views
37876-0
Spine
X-ray
4
views
36331-7
Spine
Cervical
X-ray
4
views
36332-5
Spine
Lumbar
X-ray
4
views
48473-3
Spine
Lumbar
and
Sacrum
X-ray
4
views
37907-3
Spine
Thoracic
X-ray
4
views
37882-8
Sternoclavicular
Joint
X-ray
4
views
38155-8
Wrist
X-ray
4
views
37070-0
Wrist
-
bilateral
X-ray
4
views
37071-8
Wrist
-
left
X-ray
4
views
37828-1
Wrist
-
right
X-ray
4
views
37934-7
Zygomatic
arch
X-ray
4
views
69144-4
Knee
-
left
X-ray
4
views
and
AP
standing
39384-3
Knee
-
right
X-ray
4
views
and
AP
standing
39385-0
Knee
-
right
X-ray
4
views
and
oblique
39413-0
Spine
Thoracic
X-ray
4
views
and
oblique
39099-7
Ribs
-
bilateral
and
Chest
X-ray
4
views
and
PA
chest
69063-6
Knee
-
bilateral
X-ray
4
views
and
Sunrise
and
tunnel
39387-6
Knee
-
right
X-ray
4
views
and
Sunrise
and
tunnel
69145-1
Knee
-
left
X-ray
4
views
and
tunnel
39386-8
Knee
-
right
X-ray
4
views
and
tunnel
69062-8
Knee
-
bilateral
X-ray
4
views
standing
38852-0
Knee
-
left
X-ray
4
views
standing
37763-0
Knee
-
right
X-ray
4
views
standing
36675-7
Facial
bones
X-ray
5
views
36676-5
Knee
-
left
X-ray
5
views
37744-0
Knee
-
right
X-ray
5
views
36890-2
Mastoid
X-ray
5
views
37351-4
Pelvis
and
Spine
Lumbar
X-ray
5
views
30750-4
Shoulder
X-ray
5
views
36677-3
Shoulder
-
left
X-ray
5
views
37795-2
Shoulder
-
right
X-ray
5
views
37856-2
Sinuses
X-ray
5
views
24922-7
Skull
X-ray
5
views
24939-1
Spine
Cervical
X-ray
5
views
30797-5
Spine
Lumbar
X-ray
5
views
37353-0
Spine
Lumbar
and
Sacroiliac
Joint
X-ray
5
views
37355-5
Spine
Lumbar
and
Sacrum
X-ray
5
views
37356-3
Spine
Lumbar
and
Sacrum
and
Coccyx
X-ray
5
views
37357-1
Spine
Lumbar
and
Sacrum
and
Sacroiliac
Joint
and
Coccyx
X-ray
5
views
37350-6
Temporomandibular
joint
-
bilateral
X-ray
5
views
37072-6
Wrist
-
left
X-ray
5
views
37829-9
Wrist
-
right
X-ray
5
views
39407-2
Spine
Thoracic
X-ray
5
views
and
oblique
69081-8
Spine
Cervical
X-ray
5
views
and
Swimmers
37073-4
Spine
Lumbar
X-ray
5
views
standing
69080-0
Spine
Cervical
X-ray
5
views
W
flexion
and
W
extension
39063-3
Spine
Lumbar
X-ray
5
views
W
flexion
and
W
extension
42273-3
Ankle
-
bilateral
X-ray
6
views
36678-1
Knee
-
bilateral
X-ray
6
views
36679-9
Shoulder
-
left
X-ray
6
views
37796-0
Shoulder
-
right
X-ray
6
views
42691-6
Spine
Cervical
X-ray
6
views
38156-6
Wrist
X-ray
6
views
37074-2
Wrist
-
left
X-ray
6
views
37830-7
Wrist
-
right
X-ray
6
views
36680-7
Spine
Cervical
X-ray
7
views
36681-5
Spine
Lumbar
X-ray
7
views
36682-3
Knee
-
bilateral
X-ray
8
views
36683-1
Wrist
-
left
X-ray
8
views
37831-5
Wrist
-
right
X-ray
8
views
42412-7
Shoulder
-
left
X-ray
90
degree
abduction
39064-1
Ribs
X-ray
anterior
and
lateral
69070-1
Ribs
-
bilateral
X-ray
anterior
and
lateral
38856-1
Ribs
-
left
X-ray
anterior
and
lateral
37782-0
Ribs
-
right
X-ray
anterior
and
lateral
24796-5
Abdomen
X-ray
AP
and
AP
left
lateral-decubitus
24792-4
Abdomen
X-ray
AP
and
AP
left
lateral-decubitus
portable
24653-8
Chest
X-ray
AP
and
AP
right
lateral-decubitus
24654-6
Chest
X-ray
AP
and
AP
right
lateral-decubitus
portable
37080-9
Shoulder
-
bilateral
X-ray
AP
and
axillary
37081-7
Shoulder
-
bilateral
X-ray
AP
and
axillary
and
outlet
37082-5
Shoulder
-
left
X-ray
AP
and
axillary
and
outlet
38781-1
Shoulder
-
right
X-ray
AP
and
axillary
and
outlet
39339-7
Shoulder
-
bilateral
X-ray
AP
and
axillary
and
outlet
and
30
degree
caudal
angle
37083-3
Shoulder
-
left
X-ray
AP
and
axillary
and
outlet
and
Zanca
38782-9
Shoulder
-
right
X-ray
AP
and
axillary
and
outlet
and
Zanca
37126-0
Shoulder
-
bilateral
X-ray
AP
and
axillary
and
Y
37084-1
Shoulder
-
left
X-ray
AP
and
axillary
and
Y
38783-7
Shoulder
-
right
X-ray
AP
and
axillary
and
Y
39512-9
Hip
-
right
X-ray
AP
and
Danelius
Miller
39401-5
Shoulder
X-ray
AP
and
Grashey
and
axillary
69153-5
Shoulder
-
left
X-ray
AP
and
Grashey
and
axillary
69262-4
Shoulder
-
right
X-ray
AP
and
Grashey
and
axillary
37618-6
Pelvis
X-ray
AP
and
inlet
37623-6
Pelvis
X-ray
AP
and
inlet
and
outlet
39065-8
Pelvis
X-ray
AP
and
inlet
and
outlet
and
oblique
37619-4
Pelvis
X-ray
AP
and
Judet
24794-0
Abdomen
X-ray
AP
and
lateral
30779-3
Ankle
X-ray
AP
and
lateral
36684-9
Ankle
-
bilateral
X-ray
AP
and
lateral
36685-6
Ankle
-
left
X-ray
AP
and
lateral
37667-3
Ankle
-
right
X-ray
AP
and
lateral
36686-4
Calcaneus
-
bilateral
X-ray
AP
and
lateral
36701-1
Calcaneus
-
left
X-ray
AP
and
lateral
37719-2
Calcaneus
-
right
X-ray
AP
and
lateral
36687-2
Chest
X-ray
AP
and
lateral
39066-6
Chest
Fluoroscopy
AP
and
lateral
36688-0
Coccyx
X-ray
AP
and
lateral
36689-8
Elbow
X-ray
AP
and
lateral
36690-6
Elbow
-
bilateral
X-ray
AP
and
lateral
36691-4
Elbow
-
left
X-ray
AP
and
lateral
37684-8
Elbow
-
right
X-ray
AP
and
lateral
36693-0
Femur
X-ray
AP
and
lateral
36694-8
Femur
-
bilateral
X-ray
AP
and
lateral
36695-5
Femur
-
left
X-ray
AP
and
lateral
37692-1
Femur
-
right
X-ray
AP
and
lateral
39069-0
Foot
X-ray
AP
and
lateral
36696-3
Foot
-
bilateral
X-ray
AP
and
lateral
36697-1
Foot
-
left
X-ray
AP
and
lateral
37701-0
Foot
-
right
X-ray
AP
and
lateral
42409-3
Foot
sesamoid
bones
X-ray
AP
and
lateral
69130-3
Hand
X-ray
AP
and
lateral
48474-1
Hand
-
bilateral
X-ray
AP
and
lateral
38847-0
Hand
-
left
X-ray
AP
and
lateral
37710-1
Hand
-
right
X-ray
AP
and
lateral
36702-9
Hip
X-ray
AP
and
lateral
36703-7
Hip
-
bilateral
X-ray
AP
and
lateral
36704-5
Hip
-
left
X-ray
AP
and
lateral
37725-9
Hip
-
right
X-ray
AP
and
lateral
36706-0
Humerus
X-ray
AP
and
lateral
36707-8
Humerus
-
bilateral
X-ray
AP
and
lateral
36708-6
Humerus
-
left
X-ray
AP
and
lateral
37736-6
Humerus
-
right
X-ray
AP
and
lateral
36709-4
Knee
X-ray
AP
and
lateral
36590-8
Knee
-
bilateral
X-ray
AP
and
lateral
36710-2
Knee
-
left
X-ray
AP
and
lateral
37745-7
Knee
-
right
X-ray
AP
and
lateral
36692-2
Lower
extremity
X-ray
AP
and
lateral
69258-2
Lower
extremity
-
right
X-ray
AP
and
lateral
36711-0
Mandible
X-ray
AP
and
lateral
42438-2
Neck
X-ray
AP
and
lateral
36712-8
Patella
-
bilateral
X-ray
AP
and
lateral
36713-6
Patella
-
left
X-ray
AP
and
lateral
37776-2
Patella
-
right
X-ray
AP
and
lateral
37620-2
Pelvis
X-ray
AP
and
lateral
36705-2
Pelvis
and
Hip
X-ray
AP
and
lateral
36699-7
Radius
-
bilateral
and
Ulna
-
bilateral
X-ray
AP
and
lateral
36700-3
Radius
-
left
and
Ulna.left
X-ray
AP
and
lateral
37708-5
Radius
-
right
and
Ulna
-
right
X-ray
AP
and
lateral
36698-9
Radius
and
Ulna
X-ray
AP
and
lateral
37652-5
Sacrum
X-ray
AP
and
lateral
36714-4
Scapula
-
bilateral
X-ray
AP
and
lateral
36715-1
Scapula
-
left
X-ray
AP
and
lateral
37788-7
Scapula
-
right
X-ray
AP
and
lateral
37841-4
Shoulder
X-ray
AP
and
lateral
36716-9
Shoulder
-
bilateral
X-ray
AP
and
lateral
24919-3
Skull
X-ray
AP
and
lateral
24928-4
Spine
X-ray
AP
and
lateral
24942-5
Spine
Cervical
X-ray
AP
and
lateral
37361-3
Spine
Cervical
and
Spine
Thoracic
X-ray
AP
and
lateral
39067-4
Spine
Cervical
and
Thoracic
and
Lumbar
X-ray
AP
and
lateral
43785-5
Spine
Cervicothoracic
Junction
X-ray
AP
and
lateral
24970-6
Spine
Lumbar
X-ray
AP
and
lateral
30753-8
Spine
Thoracic
X-ray
AP
and
lateral
38123-6
Spine
Thoracic
and
Lumbar
X-ray
AP
and
lateral
37974-3
Spine
Thoracolumbar
Junction
X-ray
AP
and
lateral
37889-3
Thumb
X-ray
AP
and
lateral
36717-7
Tibia
-
bilateral
and
Fibula
-
bilateral
X-ray
AP
and
lateral
36718-5
Tibia
-
left
and
Fibula
-
left
X-ray
AP
and
lateral
37816-6
Tibia
-
right
and
Fibula
-
right
X-ray
AP
and
lateral
37896-8
Tibia
and
Fibula
X-ray
AP
and
lateral
36719-3
Toes
-
left
X-ray
AP
and
lateral
37822-4
Toes
-
right
X-ray
AP
and
lateral
30793-4
Wrist
X-ray
AP
and
lateral
38860-3
Wrist
-
left
X-ray
AP
and
lateral
37832-3
Wrist
-
right
X-ray
AP
and
lateral
37839-8
Shoulder
X-ray
AP
and
lateral
and
axillary
39070-8
Chest
X-ray
AP
and
lateral
and
lordotic
42404-4
Hip
-
left
X-ray
AP
and
lateral
and
measurement
39071-6
Knee
X-ray
AP
and
lateral
and
Merchants
37095-7
Ankle
X-ray
AP
and
lateral
and
Mortise
37096-5
Ankle
-
bilateral
X-ray
AP
and
lateral
and
Mortise
37097-3
Ankle
-
left
X-ray
AP
and
lateral
and
Mortise
37666-5
Ankle
-
right
X-ray
AP
and
lateral
and
Mortise
39072-4
Ankle
X-ray
AP
and
lateral
and
oblique
36720-1
Ankle
-
bilateral
X-ray
AP
and
lateral
and
oblique
36721-9
Ankle
-
left
X-ray
AP
and
lateral
and
oblique
37668-1
Ankle
-
right
X-ray
AP
and
lateral
and
oblique
36731-8
Calcaneus
X-ray
AP
and
lateral
and
oblique
36722-7
Elbow
X-ray
AP
and
lateral
and
oblique
36723-5
Elbow
-
bilateral
X-ray
AP
and
lateral
and
oblique
36724-3
Elbow
-
left
X-ray
AP
and
lateral
and
oblique
37685-5
Elbow
-
right
X-ray
AP
and
lateral
and
oblique
36725-0
Finger
X-ray
AP
and
lateral
and
oblique
36726-8
Finger
-
bilateral
X-ray
AP
and
lateral
and
oblique
36727-6
Finger
-
left
X-ray
AP
and
lateral
and
oblique
37696-2
Finger
-
right
X-ray
AP
and
lateral
and
oblique
36728-4
Foot
X-ray
AP
and
lateral
and
oblique
36729-2
Foot
-
bilateral
X-ray
AP
and
lateral
and
oblique
36730-0
Foot
-
left
X-ray
AP
and
lateral
and
oblique
37702-8
Foot
-
right
X-ray
AP
and
lateral
and
oblique
69057-8
Hand
-
bilateral
X-ray
AP
and
lateral
and
oblique
38848-8
Hand
-
left
X-ray
AP
and
lateral
and
oblique
37711-9
Hand
-
right
X-ray
AP
and
lateral
and
oblique
36732-6
Knee
-
bilateral
X-ray
AP
and
lateral
and
oblique
36733-4
Knee
-
left
X-ray
AP
and
lateral
and
oblique
37748-1
Knee
-
right
X-ray
AP
and
lateral
and
oblique
37624-4
Pelvis
X-ray
AP
and
lateral
and
oblique
36734-2
Spine
Cervical
X-ray
AP
and
lateral
and
oblique
36735-9
Spine
Lumbar
X-ray
AP
and
lateral
and
oblique
37908-1
Spine
Thoracic
X-ray
AP
and
lateral
and
oblique
36736-7
Thumb
-
left
X-ray
AP
and
lateral
and
oblique
37813-3
Thumb
-
right
X-ray
AP
and
lateral
and
oblique
37927-1
Wrist
X-ray
AP
and
lateral
and
oblique
37099-9
Spine
Cervical
X-ray
AP
and
lateral
and
oblique
and
odontoid
38083-2
Spine
Cervical
X-ray
AP
and
lateral
and
oblique
and
odontoid
and
swimmer
37101-3
Spine
Lumbar
X-ray
AP
and
lateral
and
oblique
and
spot
42410-1
Spine
Lumbar
X-ray
AP
and
lateral
and
oblique
and
spot
standing
37102-1
Knee
-
bilateral
X-ray
AP
and
lateral
and
oblique
and
Sunrise
37118-7
Knee
-
bilateral
X-ray
AP
and
lateral
and
oblique
and
Sunrise
and
tunnel
37115-3
Knee
X-ray
AP
and
lateral
and
oblique
and
tunnel
69137-8
Ankle
-
left
X-ray
AP
and
lateral
and
oblique
standing
39371-0
Ankle
-
right
X-ray
AP
and
lateral
and
oblique
standing
39334-8
Foot
-
left
X-ray
AP
and
lateral
and
oblique
standing
39375-1
Foot
-
right
X-ray
AP
and
lateral
and
oblique
standing
42417-6
Ankle
-
bilateral
X-ray
AP
and
lateral
and
oblique
W
manual
stress
42418-4
Ankle
-
left
X-ray
AP
and
lateral
and
oblique
W
manual
stress
39369-4
Ankle
-
right
X-ray
AP
and
lateral
and
oblique
W
manual
stress
37103-9
Spine
Cervical
X-ray
AP
and
lateral
and
odontoid
37079-1
Spine
Cervical
X-ray
AP
and
lateral
and
odontoid
portable
39074-0
Chest
X-ray
AP
and
lateral
and
right
oblique
and
left
oblique
39073-2
Knee
X-ray
AP
and
lateral
and
right
oblique
and
left
oblique
69147-7
Knee
-
left
X-ray
AP
and
lateral
and
right
oblique
and
left
oblique
39388-4
Knee
-
right
X-ray
AP
and
lateral
and
right
oblique
and
left
oblique
37105-4
Spine
Lumbar
X-ray
AP
and
lateral
and
spot
37106-2
Knee
X-ray
AP
and
lateral
and
Sunrise
37107-0
Knee
-
bilateral
X-ray
AP
and
lateral
and
Sunrise
37108-8
Knee
-
left
X-ray
AP
and
lateral
and
Sunrise
37749-9
Knee
-
right
X-ray
AP
and
lateral
and
Sunrise
37109-6
Patella
-
bilateral
X-ray
AP
and
lateral
and
Sunrise
37110-4
Patella
-
left
X-ray
AP
and
lateral
and
Sunrise
38786-0
Patella
-
right
X-ray
AP
and
lateral
and
Sunrise
37111-2
Knee
X-ray
AP
and
lateral
and
Sunrise
and
tunnel
37116-1
Knee
-
bilateral
X-ray
AP
and
lateral
and
Sunrise
and
tunnel
37117-9
Knee
-
left
X-ray
AP
and
lateral
and
Sunrise
and
tunnel
37740-8
Knee
-
right
X-ray
AP
and
lateral
and
Sunrise
and
tunnel
38009-7
Spine
Thoracic
X-ray
AP
and
lateral
and
Swimmers
37112-0
Knee
X-ray
AP
and
lateral
and
tunnel
37113-8
Knee
-
bilateral
X-ray
AP
and
lateral
and
tunnel
37114-6
Knee
-
left
X-ray
AP
and
lateral
and
tunnel
37747-3
Knee
-
right
X-ray
AP
and
lateral
and
tunnel
69065-1
Abdomen
X-ray
AP
and
lateral
crosstable
37086-6
Hip
X-ray
AP
and
lateral
crosstable
37087-4
Hip
-
left
X-ray
AP
and
lateral
crosstable
37723-4
Hip
-
right
X-ray
AP
and
lateral
crosstable
37090-8
Knee
X-ray
AP
and
lateral
crosstable
69146-9
Knee
-
left
X-ray
AP
and
lateral
crosstable
37089-0
Pelvis
and
Hip
X-ray
AP
and
lateral
crosstable
37088-2
Pelvis
and
Hip
-
left
X-ray
AP
and
lateral
crosstable
38784-5
Pelvis
and
Hip
-
right
X-ray
AP
and
lateral
crosstable
30763-7
Abdomen
X-ray
AP
and
lateral
crosstable
portable
37077-5
Hip
X-ray
AP
and
lateral
crosstable
portable
37091-6
Hip
X-ray
AP
and
lateral
frog
37092-4
Hip
-
bilateral
X-ray
AP
and
lateral
frog
37093-2
Hip
-
left
X-ray
AP
and
lateral
frog
37724-2
Hip
-
right
X-ray
AP
and
lateral
frog
30770-2
Pelvis
and
Hip
X-ray
AP
and
lateral
frog
42167-7
Pelvis
and
Hip
-
bilateral
X-ray
AP
and
lateral
frog
37094-0
Pelvis
and
Hip
-
left
X-ray
AP
and
lateral
frog
38785-2
Pelvis
and
Hip
-
right
X-ray
AP
and
lateral
frog
41776-6
Pelvis
and
Hip
-
right
X-ray
AP
and
lateral
frog
portable
24793-2
Abdomen
X-ray
AP
and
lateral
portable
44185-7
Femur
X-ray
AP
and
lateral
portable
44186-5
Foot
X-ray
AP
and
lateral
portable
41817-8
Hip
-
left
X-ray
AP
and
lateral
portable
41777-4
Hip
-
right
X-ray
AP
and
lateral
portable
30726-4
Spine
Cervical
X-ray
AP
and
lateral
portable
37078-3
Spine
Lumbar
X-ray
AP
and
lateral
portable
30754-6
Spine
Thoracic
X-ray
AP
and
lateral
portable
39330-6
Ankle
-
bilateral
X-ray
AP
and
lateral
standing
42380-6
Ankle
-
left
X-ray
AP
and
lateral
standing
39368-6
Ankle
-
right
X-ray
AP
and
lateral
standing
39068-2
Foot
X-ray
AP
and
lateral
standing
39331-4
Foot
-
bilateral
X-ray
AP
and
lateral
standing
39332-2
Foot
-
left
X-ray
AP
and
lateral
standing
39374-4
Foot
-
right
X-ray
AP
and
lateral
standing
24805-4
Knee
X-ray
AP
and
lateral
standing
26364-0
Knee
-
bilateral
X-ray
AP
and
lateral
standing
26365-7
Knee
-
left
X-ray
AP
and
lateral
standing
26366-5
Knee
-
right
X-ray
AP
and
lateral
standing
39333-0
Spine
Lumbar
X-ray
AP
and
lateral
standing
38084-0
Abdomen
X-ray
AP
and
left
posterior
oblique
37119-5
Abdomen
X-ray
AP
and
oblique
39076-5
Foot
X-ray
AP
and
oblique
37621-0
Pelvis
X-ray
AP
and
oblique
37649-1
Sacroiliac
Joint
X-ray
AP
and
oblique
39075-7
Toes
X-ray
AP
and
oblique
37098-1
Spine
Cervical
X-ray
AP
and
oblique
and
lateral
W
flexion
and
W
extension
44187-3
Spine
Cervical
X-ray
AP
and
oblique
and
odontoid
and
lateral
portable
W
flexion
and
W
extension
37100-5
Spine
Cervical
X-ray
AP
and
oblique
and
odontoid
and
lateral
W
flexion
and
W
extension
24797-3
Abdomen
X-ray
AP
and
oblique
prone
37120-3
Spine
Cervical
X-ray
AP
and
odontoid
and
lateral
crosstable
37104-7
Spine
Cervical
X-ray
AP
and
odontoid
and
lateral
W
flexion
and
W
extension
42011-7
Chest
and
Abdomen
X-ray
AP
and
PA
chest
24642-1
Chest
X-ray
AP
and
PA
upright
24808-8
Knee
X-ray
AP
and
PA
standing
26361-6
Knee
-
bilateral
X-ray
AP
and
PA
standing
26362-4
Knee
-
left
X-ray
AP
and
PA
standing
26363-2
Knee
-
right
X-ray
AP
and
PA
standing
37121-1
Clavicle
-
left
X-ray
AP
and
Serendipity
37680-6
Clavicle
-
right
X-ray
AP
and
Serendipity
37122-9
Shoulder
-
left
X-ray
AP
and
Stryker
Notch
37797-8
Shoulder
-
right
X-ray
AP
and
Stryker
Notch
37485-0
Humerus
X-ray
AP
and
transthoracic
39077-3
Shoulder
X-ray
AP
and
transthoracic
46349-7
Shoulder
-
bilateral
X-ray
AP
and
transthoracic
38082-4
Shoulder
-
left
X-ray
AP
and
transthoracic
38822-3
Shoulder
-
right
X-ray
AP
and
transthoracic
37123-7
Shoulder
-
left
X-ray
AP
and
West
Point
38787-8
Shoulder
-
right
X-ray
AP
and
West
Point
36961-1
Shoulder
-
left
X-ray
AP
and
West
Point
and
outlet
37799-4
Shoulder
-
right
X-ray
AP
and
West
Point
and
outlet
37124-5
Scapula
-
left
X-ray
AP
and
Y
37789-5
Scapula
-
right
X-ray
AP
and
Y
69266-5
Shoulder
X-ray
AP
and
Y
37125-2
Shoulder
-
left
X-ray
AP
and
Y
38788-6
Shoulder
-
right
X-ray
AP
and
Y
24562-1
Abdomen
X-ray
AP
(left
lateral-decubitus
and
right
lateral-decubitus)
24650-4
Chest
X-ray
AP
(right
lateral-decubitus
and
left
lateral-decubitus)
24649-6
Chest
X-ray
AP
(right
lateral-decubitus
and
left
lateral-decubitus)
portable
37085-8
Abdomen
X-ray
AP
(supine
and
lateral-decubitus)
37076-7
Abdomen
X-ray
AP
(supine
and
lateral-decubitus)
portable
24798-1
Abdomen
X-ray
AP
(supine
and
upright)
43463-9
Chest
and
Abdomen
X-ray
AP
(supine
and
upright)
and
PA
chest
24795-7
Abdomen
X-ray
AP
(supine
and
upright)
portable
42019-0
Abdomen
X-ray
AP
(upright
and
left
lateral
decubitus)
39329-8
Shoulder
-
bilateral
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
39328-0
Shoulder
-
left
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
39395-9
Shoulder
-
right
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
39321-5
Shoulder
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
axillary
39336-3
Shoulder
-
bilateral
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
axillary
39335-5
Shoulder
-
left
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
axillary
39337-1
Shoulder
-
bilateral
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
axillary
and
outlet
39344-7
Shoulder
-
bilateral
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
axillary
and
Y
39338-9
Shoulder
-
left
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
axillary
and
Y
39397-5
Shoulder
-
right
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
West
Point
39343-9
Shoulder
-
bilateral
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
Y
39348-8
Shoulder
-
left
X-ray
AP
(W
internal
rotation
and
W
external
rotation)
and
Y
39325-6
Shoulder
-
left
X-ray
AP
(W
internal
rotation)
and
Grashey
and
axillary
and
outlet
39346-2
Shoulder
-
bilateral
X-ray
AP
(W
internal
rotation)
and
West
Point
39347-0
Shoulder
-
left
X-ray
AP
(W
internal
rotation)
and
West
Point
39396-7
Shoulder
-
right
X-ray
AP
(W
internal
rotation)
and
West
Point
24632-2
Chest
X-ray
AP
portable
37075-9
Hip
X-ray
AP
portable
43561-0
Chest
and
Abdomen
X-ray
AP
upright
and
AP
chest
38003-0
Foot
-
left
X-ray
AP
standing
38815-7
Foot
-
right
X-ray
AP
standing
42406-9
Spine
Lumbar
X-ray
AP
W
and
WO
left
bending
42407-7
Spine
Lumbar
X-ray
AP
W
and
WO
right
bending
42445-7
Spine
Thoracic
X-ray
AP
W
left
bending
and
WO
bending
37484-3
Knee
-
left
X-ray
AP
W
manual
stress
37746-5
Knee
-
right
X-ray
AP
W
manual
stress
42403-6
Spine
Lumbar
X-ray
AP
W
right
bending
and
W
left
bending
42408-5
Spine
Lumbar
X-ray
AP
W
right
bending
and
W
left
bending
and
WO
bending
42444-0
Spine
Thoracic
X-ray
AP
W
right
bending
and
W
left
bending
and
WO
bending
42446-5
Spine
Thoracic
X-ray
AP
W
right
bending
and
WO
bending
39403-1
Shoulder
X-ray
axillary
and
transcapular
37127-8
Shoulder
-
bilateral
X-ray
axillary
and
Y
37128-6
Shoulder
-
left
X-ray
axillary
and
Y
37807-5
Shoulder
-
right
X-ray
axillary
and
Y
46386-9
Teeth
X-ray
bitewing
39884-2
Bone
Scan
blood
pool
39861-0
Heart
Scan
blood
pool
42709-6
Liver
Scan
blood
pool
39860-2
Heart
Scan
blood
pool
W
stress
and
W
radionuclide
IV
26352-5
Wrist
-
bilateral
and
Hand
-
bilateral
X-ray
bone
age
26353-3
Wrist
-
left
and
Hand
-
left
X-ray
bone
age
26354-1
Wrist
-
right
and
Hand
-
right
X-ray
bone
age
24724-7
Wrist
and
Hand
X-ray
bone
age
37362-1
Bones
X-ray
bone
age
24591-0
Brain
Scan
brain
death
protocol
W
Tc-99m
HMPAO
IV
37996-6
Calcaneus
X-ray
Broden
37995-8
Calcaneus
-
bilateral
X-ray
Broden
37997-4
Calcaneus
-
left
X-ray
Broden
38814-0
Calcaneus
-
right
X-ray
Broden
37486-8
Ankle
X-ray
Broden
W
manual
stress
37852-1
Sinuses
X-ray
Caldwell
and
Waters
39859-4
Brain
Scan
delayed
static
39875-0
Scan
delayed
W
GA-67
IV
39840-4
Scan
delayed
W
I-131
MIBG
IV
39842-0
Scan
delayed
W
In-111
Satumomab
IV
39874-3
Head
Cistern
Scan
delayed
W
radionuclide
IT
39819-8
Bone
Scan
delayed
39741-4
Parathyroid
Scan
delayed
24605-8
Breast
Mammogram
diagnostic
39152-4
Breast
FFD
mammogram
diagnostic
69158-4
Breast
implant
X-ray
diagnostic
48475-8
Breast
implant
-
bilateral
Mammogram
diagnostic
69150-1
Breast
implant
-
left
Mammogram
diagnostic
69259-0
Breast
implant
-
right
Mammogram
diagnostic
26346-7
Breast
-
bilateral
Mammogram
diagnostic
39154-0
Breast
-
bilateral
FFD
mammogram
diagnostic
26347-5
Breast
-
left
Mammogram
diagnostic
42169-3
Breast
-
left
FFD
mammogram
diagnostic
26348-3
Breast
-
right
Mammogram
diagnostic
42168-5
Breast
-
right
FFD
mammogram
diagnostic
46350-5
Breast
-
unilateral
Mammogram
diagnostic
24604-1
Breast
Mammogram
diagnostic
limited
26349-1
Breast
-
bilateral
Mammogram
diagnostic
limited
26350-9
Breast
-
left
Mammogram
diagnostic
limited
26351-7
Breast
-
right
Mammogram
diagnostic
limited
46351-3
Breast
implant
-
bilateral
Mammogram
displacement
39895-8
Gallbladder
Scan
ejection
fraction
W
Tc-99m
DISIDA
IV
39887-5
Heart
Scan
first
pass
and
ejection
fraction
at
rest
and
W
radionuclide
IV
39889-1
Heart
Scan
first
pass
and
ejection
fraction
39885-9
Heart
Scan
first
pass
and
ventricular
volume
39910-5
Heart
Scan
first
pass
and
wall
motion
and
ejection
fraction
39912-1
Heart
Scan
first
pass
and
wall
motion
and
ventricular
volume
and
ejection
fraction
39909-7
Heart
Scan
first
pass
and
wall
motion
and
ventricular
volume
and
ejection
fraction
W
stress
and
W
radionuclide
IV
39908-9
Heart
Scan
first
pass
and
wall
motion
and
ventricular
volume
W
stress
and
W
radionuclide
IV
39886-7
Heart
Scan
first
pass
and
wall
motion
at
rest
and
W
radionuclide
IV
39890-9
Heart
Scan
first
pass
and
wall
motion
39888-3
Heart
Scan
first
pass
and
wall
motion
W
stress
and
W
radionuclide
IV
39867-7
Heart
Scan
first
pass
at
rest
and
W
radionuclide
IV
39863-6
Heart
Scan
first
pass
at
rest
and
W
stress
and
W
radionuclide
IV
39866-9
Heart
Scan
first
pass
at
rest
and
W
Tc-99m
Sestamibi
IV
39864-4
Heart
Scan
first
pass
39865-1
Left
ventricle
Scan
first
pass
39869-3
Heart
Scan
first
pass
W
stress
and
W
radionuclide
IV
39868-5
Heart
Scan
first
pass
W
stress
and
W
Tc-99m
Sestamibi
IV
39893-3
Heart
Scan
flow
for
shunt
detection
43644-4
Brain
Scan
flow
limited
39858-6
Bone
Scan
flow
39636-6
Brain
Scan
flow
39871-9
Heart
Scan
flow
42261-8
Kidney
-
bilateral
Scan
flow
42262-6
Liver
Scan
flow
43653-5
Liver
and
Spleen
Scan
flow
39847-9
Parotid
gland
Scan
flow
39899-0
Salivary
gland
Scan
flow
42308-7
Scrotum
and
Testicle
Scan
flow
42263-4
Spleen
Scan
flow
39856-0
Thyroid
Scan
flow
43500-8
Vessel
Scan
flow
44148-5
Brain
Scan
flow
W
Tc-99m
bicisate
IV
43642-8
Brain
Scan
flow
W
Tc-99m
DTPA
IV
43664-2
Renal
vessels
Scan
flow
W
Tc-99m
DTPA
IV
43643-6
Brain
Scan
flow
W
Tc-99m
glucoheptonate
IV
43666-7
Kidney
-
bilateral
and
Renal
vessels
Scan
flow
W
Tc-99m
glucoheptonate
IV
43663-4
Renal
vessels
Scan
flow
W
Tc-99m
glucoheptonate
IV
43665-9
Renal
vessels
Scan
flow
W
Tc-99m
Mertiatide
IV
39870-1
Heart
Scan
flow
W
Tc-99m
pertechnetate
IV
43654-3
Liver
Scan
flow
W
Tc-99m
tagged
RBC
IV
39685-3
Scan
for
abscess
W
GA-67
IV
39940-2
Lung
Scan
Clearance
W
Tc-99m
DTPA
aerosol
inhaled
43787-1
Skull
and
Facial
bones
and
Mandible
X-ray
for
dental
measurement
43648-5
Scan
for
endocrine
tumor
multiple
areas
W
I-131
MIBG
IV
43649-3
Scan
for
endocrine
tumor
multiple
areas
W
In-111
pentetreotide
IV
39827-1
Scan
for
endocrine
tumor
whole
body
W
I-131
MIBG
IV
39828-9
Scan
for
endocrine
tumor
whole
body
W
In-111
pentetreotide
IV
39327-2
Abdomen
and
Fetus
X-ray
for
fetal
age
44208-7
Orbit
X-ray
for
foreign
body
30720-7
Orbit
-
bilateral
X-ray
for
foreign
body
42311-1
Orbit
-
left
X-ray
for
foreign
body
42312-9
Orbit
-
right
X-ray
for
foreign
body
39768-7
Stomach
Scan
for
gastric
emptying
W
Tc-99m
SC
PO
39767-9
Stomach
Scan
for
gastric
emptying
liquid
phase
W
radionuclide
PO
24997-9
Stomach
Scan
for
gastric
emptying
solid
phase
W
Tc-99m
SC
PO
39769-5
Stomach
Scan
for
gastric
emptying
W
radionuclide
PO
39892-5
Heart
Scan
for
infarct
and
first
pass
39891-7
Heart
Scan
for
infarct
and
first
pass
W
Tc-99m
PYP
IV
43646-9
Heart
Scan
for
infarct
qualitative
and
quantitative
43645-1
Heart
Scan
for
infarct
qualitative
43647-7
Heart
Scan
for
infarct
quantitative
39653-1
Heart
Scan
for
infarct
39657-2
Heart
Scan
for
infarct
W
Tc-99m
PYP
IV
39933-7
Scan
for
infection
multiple
areas
W
GA-67
IV
39830-5
Scan
for
infection
whole
body
W
GA-67
IV
39677-0
Scan
for
infection
W
GA-67
IV
39490-8
Femur
-
right
and
Tibia
-
right
X-ray
for
leg
length
24700-7
Femur
and
Tibia
X-ray
for
leg
length
39686-1
Scan
for
lymphoma
W
GA-67
IV
42170-1
Scan
for
lymphoma
39672-1
Esophagus
Scan
for
motility
W
radionuclide
PO
72256-1
Abdomen
X-ray
for
motility
with
radioopaque
markers
24571-2
Biliary
ducts
and
Gallbladder
Scan
for
patency
of
biliary
structures
and
ejection
fraction
W
sincalide
and
W
radionuclide
IV
24572-0
Biliary
ducts
and
Gallbladder
Scan
for
patency
of
biliary
structures
W
Tc-99m
IV
43788-9
Tube
Fluoroscopy
for
patency
W
contrast
via
tube
43789-7
Liver
and
Biliary
ducts
and
Gallbladder
Scan
for
patency
W
Tc-99m
IV
39673-9
Esophagus
Scan
for
reflux
W
radionuclide
PO
30650-6
Unspecified
body
region
Fluoroscopy
for
shunt
39665-5
Heart
Scan
for
shunt
detection
39664-8
Heart
Scan
for
shunt
detection
W
Tc-99m
MAA
IV
39848-7
Peritoneovenous
shunt
Scan
for
patency
W
In-111
IT
39849-5
Peritoneovenous
shunt
Scan
for
patency
W
radionuclide
IT
24876-5
Peritoneovenous
shunt
Scan
for
patency
W
Tc-99m
DTPA
IT
44149-3
Peritoneovenous
shunt
Scan
for
patency
W
Tc-99m
MAA
inj
39954-3
Vein
Scan
for
thrombosis
44140-2
Abdomen
and
Pelvis
Scan
for
tumor
39831-3
Scan
for
tumor
limited
W
GA-67
IV
39951-9
Scan
for
tumor
multiple
area
W
Tc-99m
Sestamibi
IV
39934-5
Scan
for
tumor
multiple
areas
W
GA-67
IV
39829-7
Scan
for
tumor
whole
body
W
GA-67
IV
42171-9
Scan
for
tumor
whole
body
39749-7
Scan
for
tumor
whole
body
W
Tc-99m
Sestamibi
IV
39679-6
Scan
for
tumor
W
GA-67
IV
39750-5
Scan
for
tumor
W
Tc-99m
Sestamibi
IV
42305-3
Scan
for
tumor
W
Tl-201
IV
42397-0
Chest
X-ray
frontal
stereo
39923-8
Heart
Scan
gated
and
ejection
fraction
at
rest
and
W
radionuclide
IV
39917-0
Heart
Scan
gated
and
ejection
fraction
39919-6
Heart
Scan
gated
and
first
pass
39925-3
Heart
Scan
gated
and
wall
motion
and
ejection
fraction
at
rest
and
W
radionuclide
IV
39931-1
Heart
Scan
gated
and
wall
motion
and
ejection
fraction
42306-1
Heart
Scan
gated
and
wall
motion
39929-5
Heart
Scan
gated
and
wall
motion
W
stress
and
W
radionuclide
IV
39921-2
Heart
Scan
gated
at
rest
and
W
radionuclide
IV
39924-6
Heart
Scan
gated
at
rest
and
W
stress
and
W
radionuclide
IV
39922-0
Heart
Scan
gated
at
rest
and
W
Tc-99m
pertechnetate
IV
39920-4
Heart
Scan
gated
at
rest
and
W
Tc-99m
Sestamibi
IV
39915-4
Heart
Scan
gated
39928-7
Heart
Scan
gated
W
stress
and
W
radionuclide
IV
39927-9
Heart
Scan
gated
W
stress
and
W
Tc-99m
pertechnetate
IV
39914-7
Heart
Scan
gated
W
Tc-99m
Sestamibi
IV
46348-9
Chest
X-ray
GE
2
and
PA
and
Lateral
views
44210-3
Ankle
X-ray
GE
3
views
48480-8
Ankle
-
bilateral
X-ray
GE
3
views
46390-1
Ankle
-
left
X-ray
GE
3
views
46347-1
Ankle
-
right
X-ray
GE
3
views
48481-6
Elbow
-
bilateral
X-ray
GE
3
views
46344-8
Elbow
-
left
X-ray
GE
3
views
46345-5
Elbow
-
right
X-ray
GE
3
views
48479-0
Facial
bones
X-ray
GE
3
views
43492-8
Finger
fifth
-
left
X-ray
GE
3
views
43497-7
Finger
fifth
-
right
X-ray
GE
3
views
43491-0
Finger
fourth
-
left
X-ray
GE
3
views
43496-9
Finger
fourth
-
right
X-ray
GE
3
views
43489-4
Finger
second
-
left
X-ray
GE
3
views
43494-4
Finger
second
-
right
X-ray
GE
3
views
43490-2
Finger
third
-
left
X-ray
GE
3
views
43495-1
Finger
third
-
right
X-ray
GE
3
views
44188-1
Foot
X-ray
GE
3
views
48478-2
Foot
-
bilateral
X-ray
GE
3
views
48477-4
Foot
-
left
X-ray
GE
3
views
48476-6
Foot
-
right
X-ray
GE
3
views
47370-2
Hand
-
left
X-ray
GE
3
views
47371-0
Hand
-
right
X-ray
GE
3
views
43498-5
Knee
-
left
X-ray
GE
3
views
43482-9
Knee
-
right
X-ray
GE
3
views
47381-9
Mastoid
X-ray
GE
3
views
43543-8
Pelvis
X-ray
GE
3
views
44189-9
Sacroiliac
Joint
X-ray
GE
3
views
48746-2
Sacroiliac
joint
-
bilateral
X-ray
GE
3
views
43486-0
Sinuses
X-ray
GE
3
views
46377-8
Skull
X-ray
GE
3
views
48482-4
Sternoclavicular
Joints
X-ray
GE
3
views
43488-6
Thumb
-
left
X-ray
GE
3
views
43493-6
Thumb
-
right
X-ray
GE
3
views
44190-7
Wrist
X-ray
GE
3
views
48483-2
Wrist
-
bilateral
X-ray
GE
3
views
46346-3
Wrist
-
left
X-ray
GE
3
views
46343-0
Wrist
-
right
X-ray
GE
3
views
48485-7
Ribs
-
bilateral
and
Chest
X-ray
GE
3
and
PA
Chest
views
48486-5
Ribs
-
left
and
Chest
X-ray
GE
3
and
PA
Chest
views
48484-0
Ribs
-
right
and
Chest
X-ray
GE
3
and
PA
Chest
views
44191-5
Ribs
and
Chest
X-ray
GE
3
and
PA
Chest
views
44239-2
Ribs
-
unilateral
and
Chest
X-ray
Ge
3
and
PA
Chest
Portable
views
44193-1
Hand
X-ray
GE
3
Portable
views
44192-3
Pelvis
X-ray
GE
3
Portable
views
44211-1
Chest
X-ray
GE
4
views
47367-8
Chest
Fluoroscopy
GE
4
views
47374-4
Knee
-
left
X-ray
GE
4
views
47376-9
Knee
-
right
X-ray
GE
4
views
47379-3
Mandible
X-ray
GE
4
views
48747-0
Orbit
-
bilateral
X-ray
GE
4
views
48487-3
Skull
X-ray
GE
4
views
44212-9
Spine
Cervical
X-ray
GE
4
views
47382-7
Spine
Lumbar
X-ray
GE
4
views
47368-6
Chest
X-ray
GE
4
and
Pa
and
Lateral
views
44194-9
Spine
X-ray
GE
4
views
W
right
bending
and
W
left
bending
44195-6
Knee
X-ray
GE
5
views
43524-8
Skull
X-ray
GE
5
views
44197-2
Knee
-
bilateral
X-ray
GE
5
views
standing
44196-4
Spine
Lumbar
X-ray
GE
5
views
W
right
bending
and
W
left
bending
49570-5
Ankle
-
bilateral
X-ray
GE
6
views
37160-9
Shoulder
-
left
X-ray
Grashey
and
axillary
38793-6
Shoulder
-
right
X-ray
Grashey
and
axillary
37158-3
Shoulder
-
left
X-ray
Grashey
and
axillary
and
outlet
37806-7
Shoulder
-
right
X-ray
Grashey
and
axillary
and
outlet
37161-7
Shoulder
-
bilateral
X-ray
Grashey
and
axillary
and
outlet
and
Zanca
69267-3
Shoulder
X-ray
Grashey
and
axillary
and
Y
37538-6
Shoulder
-
left
X-ray
Grashey
and
axillary
and
Y
38789-4
Shoulder
-
right
X-ray
Grashey
and
axillary
and
Y
37157-5
Shoulder
-
left
X-ray
Grashey
and
outlet
38791-0
Shoulder
-
right
X-ray
Grashey
and
outlet
39350-4
Shoulder
-
bilateral
X-ray
Grashey
and
outlet
and
Serendipity
37162-5
Shoulder
-
left
X-ray
Grashey
and
outlet
and
Serendipity
38794-4
Shoulder
-
right
X-ray
Grashey
and
outlet
and
Serendipity
37167-4
Shoulder
-
left
X-ray
Grashey
and
West
Point
38795-1
Shoulder
-
right
X-ray
Grashey
and
West
Point
69156-8
Shoulder
-
left
X-ray
Grashey
and
Y
43790-5
Shoulder
-
right
X-ray
Grashey
and
Y
38004-8
Shoulder
-
left
X-ray
Grashey
W
and
WO
weight
38816-5
Shoulder
-
right
X-ray
Grashey
W
and
WO
weight
37539-4
Breast
Mammogram
grid
37540-2
Knee
-
bilateral
X-ray
Holmblad
standing
30771-0
Pelvis
X-ray
inlet
and
outlet
37627-7
Pelvis
X-ray
inlet
and
outlet
and
oblique
37164-1
Facial
bones
X-ray
lateral
and
Caldwell
and
Waters
37864-6
Sinuses
X-ray
lateral
and
Caldwell
and
Waters
37165-8
Facial
bones
X-ray
lateral
and
Caldwell
and
Waters
and
submentovertex
37166-6
Facial
bones
X-ray
lateral
and
Caldwell
and
Waters
and
submentovertex
and
Towne
37871-1
Skull
X-ray
lateral
and
Caldwell
and
Waters
and
Towne
37134-4
Ankle
-
bilateral
X-ray
lateral
and
Mortise
37135-1
Ankle
-
left
X-ray
lateral
and
Mortise
37670-7
Ankle
-
right
X-ray
lateral
and
Mortise
42382-2
Ankle
-
left
X-ray
lateral
and
Mortise
and
Broden
W
manual
stress
39366-0
Scapula
X-ray
lateral
and
outlet
43464-7
Ribs
-
bilateral
and
Chest
X-ray
lateral
and
PA
chest
37603-8
Ribs
-
left
and
Chest
X-ray
lateral
and
PA
chest
39100-3
Ribs
-
right
and
Chest
X-ray
lateral
and
PA
chest
39101-1
Ribs
and
Chest
X-ray
lateral
and
PA
chest
39341-3
Chest
X-ray
lateral
and
PA
W
inspiration
and
expiration
39406-4
Sternum
X-ray
lateral
and
right
anterior
oblique
39405-6
Sternum
X-ray
lateral
and
right
oblique
and
left
oblique
42436-6
Sella
turcica
X-ray
lateral
and
Towne
37869-5
Skull
X-ray
lateral
and
Towne
37605-3
Nasal
bones
X-ray
lateral
and
Waters
37862-0
Sinuses
X-ray
lateral
and
Waters
37136-9
Shoulder
-
left
X-ray
lateral
and
Y
37803-4
Shoulder
-
right
X-ray
lateral
and
Y
39340-5
Spine
Lumbar
X-ray
lateral
standing
and
W
flexion
and
W
extension
37133-6
Spine
Cervical
X-ray
lateral
W
flexion
and
W
extension
37132-8
Spine
Lumbar
X-ray
lateral
W
flexion
and
W
extension
38010-5
Spine
Thoracic
X-ray
lateral
W
flexion
and
W
extension
37929-7
Wrist
X-ray
lateral
W
flexion
and
W
extension
69157-6
Wrist
-
left
X-ray
lateral
W
flexion
and
W
extension
39515-2
Wrist
-
right
X-ray
lateral
W
flexion
and
W
extension
37474-4
Ankle
-
left
X-ray
lateral
W
manual
stress
37669-9
Ankle
-
right
X-ray
lateral
W
manual
stress
43480-3
Joint
X-ray
lateral
W
manual
stress
37541-0
Mastoid
-
bilateral
X-ray
law
and
Mayer
and
Stenver
and
Towne
47380-1
Mandible
X-ray
LE
3
views
43470-4
Skull
X-ray
LE
3
views
47377-7
Knee
-
right
X-ray
LE
4
views
24610-8
Breast
Mammogram
limited
26287-3
Breast
-
bilateral
Mammogram
limited
26289-9
Breast
-
left
Mammogram
limited
26291-5
Breast
-
right
Mammogram
limited
41826-9
Elbow
-
left
X-ray
limited
41785-7
Elbow
-
right
X-ray
limited
36737-5
Facial
bones
X-ray
limited
41830-1
Hand
-
left
X-ray
limited
41789-9
Hand
-
right
X-ray
limited
36738-3
Mandible
X-ray
limited
36893-6
Mastoid
X-ray
limited
42007-5
Mastoid
-
bilateral
X-ray
limited
37646-7
Sacroiliac
Joint
X-ray
limited
44209-5
Sinuses
X-ray
limited
48466-7
Skull
X-ray
limited
42710-4
Spine
Cervical
X-ray
limited
36739-1
Wrist
-
bilateral
X-ray
limited
38838-9
Wrist
-
left
X-ray
limited
37642-6
Wrist
-
right
X-ray
limited
41797-2
Colon
Fluoroscopy
limited
W
air
and
barium
contrast
PR
42335-0
Spine
Cervical
Fluoroscopy
limited
W
contrast
IT
38125-1
Spine
Cervical
and
Thoracic
and
Lumbar
Fluoroscopy
limited
W
contrast
IT
38120-2
Spine
Thoracic
Fluoroscopy
limited
W
contrast
IT
37137-7
Kidney
X-ray
limited
W
contrast
IV
39687-9
Scan
limited
W
GA-67
IV
39754-7
Thyroid
Scan
limited
W
I-131
IV
49571-3
Scan
limited
W
I-131
MIBG
IV
39843-8
Scan
limited
W
In-111
Satumomab
IV
41836-8
Bone
Scan
limited
W
In-111
tagged
WBC
IV
39627-5
Bone
Scan
limited
39822-2
Bone
marrow
Scan
limited
39645-7
Breast
Scan
limited
39695-2
Lung
Scan
limited
39936-0
Joint
Scan
limited
37542-8
Breast
Mammogram
magnification
37543-6
Breast
-
bilateral
Mammogram
magnification
37554-3
Breast
-
bilateral
Mammogram
magnification
and
spot
38854-6
Breast
-
left
Mammogram
magnification
and
spot
37769-7
Breast
-
right
Mammogram
magnification
and
spot
30769-4
Pelvis
and
Hip
-
bilateral
X-ray
max
abduction
38086-5
Knee
X-ray
Merchants
30
and
45
and
60
degrees
39935-2
Scan
multiple
areas
W
GA-67
IV
39949-3
Scan
multiple
areas
W
In-111
Satumomab
IV
39904-8
Bone
Scan
multiple
areas
39907-1
Bone
marrow
Scan
multiple
areas
39937-8
Joint
Scan
multiple
areas
39950-1
Prostate
Scan
multiple
areas
W
Tc-99m
capromab
pendatide
IV
36608-8
Elbow
X-ray
oblique
36740-9
Elbow
-
bilateral
X-ray
oblique
36741-7
Elbow
-
left
X-ray
oblique
37687-1
Elbow
-
right
X-ray
oblique
36744-1
Humerus
-
left
X-ray
oblique
37737-4
Humerus
-
right
X-ray
oblique
36619-5
Knee
X-ray
oblique
36745-8
Knee
-
bilateral
X-ray
oblique
36746-6
Knee
-
left
X-ray
oblique
37757-2
Knee
-
right
X-ray
oblique
36747-4
Mandible
X-ray
oblique
37630-1
Pelvis
X-ray
oblique
36742-5
Radius
-
bilateral
and
Ulna
-
bilateral
X-ray
oblique
36743-3
Radius
-
left
and
Ulna.left
X-ray
oblique
37709-3
Radius
-
right
and
Ulna
-
right
X-ray
oblique
48748-8
Spine
X-ray
oblique
36748-2
Spine
Cervical
X-ray
oblique
43791-3
Spine
Lumbar
X-ray
oblique
48749-6
Spine
Thoracic
X-ray
oblique
36749-0
Tibia
-
left
and
Fibula
-
left
X-ray
oblique
37817-4
Tibia
-
right
and
Fibula
-
right
X-ray
oblique
36894-4
Tibia
and
Fibula
X-ray
oblique
37544-4
Wrist
-
bilateral
X-ray
oblique
38839-7
Wrist
-
left
X-ray
oblique
37643-4
Wrist
-
right
X-ray
oblique
42398-8
Foot
X-ray
oblique
and
(AP
and
lateral)
standing
37139-3
Spine
Cervical
X-ray
oblique
and
lateral
W
flexion
and
W
extension
37154-2
Knee
X-ray
oblique
and
Sunrise
37155-9
Knee
X-ray
oblique
and
Sunrise
and
tunnel
43469-6
Unspecified
body
region
X-ray
of
foreign
body
37063-5
Unspecified
body
region
Fluoroscopy
of
foreign
body
37546-9
Temporomandibular
joint
-
bilateral
X-ray
open
and
closed
mouth
48491-5
Temporomandibular
joint
-
left
X-ray
open
and
closed
mouth
48490-7
Temporomandibular
joint
-
right
X-ray
open
and
closed
mouth
48699-3
Temporomandibular
Joint
-
unilateral
X-ray
open
and
closed
mouth
37152-6
Shoulder
-
bilateral
X-ray
outlet
and
Y
37140-1
Shoulder
-
left
X-ray
outlet
and
Y
37804-2
Shoulder
-
right
X-ray
outlet
and
Y
36750-8
Chest
X-ray
PA
and
AP
lateral-decubitus
42272-5
Chest
X-ray
PA
and
lateral
36751-6
Chest
Fluoroscopy
PA
and
lateral
36752-4
Hand
-
bilateral
X-ray
PA
and
lateral
36753-2
Hand
-
left
X-ray
PA
and
lateral
37713-5
Hand
-
right
X-ray
PA
and
lateral
36754-0
Mandible
X-ray
PA
and
lateral
30721-5
Sinuses
X-ray
PA
and
lateral
37547-7
Wrist
-
bilateral
X-ray
PA
and
lateral
37548-5
Wrist
-
left
X-ray
PA
and
lateral
37835-6
Wrist
-
right
X-ray
PA
and
lateral
37143-5
Chest
X-ray
PA
and
lateral
and
AP
lateral-decubitus
37144-3
Chest
X-ray
PA
and
lateral
and
AP
left
lateral-decubitus
37145-0
Chest
X-ray
PA
and
lateral
and
AP
right
lateral-decubitus
37142-7
Hand
-
bilateral
X-ray
PA
and
lateral
and
Ball
Catcher
37860-4
Sinuses
X-ray
PA
and
lateral
and
Caldwell
and
Waters
37146-8
Chest
X-ray
PA
and
lateral
and
left
oblique
30741-3
Chest
X-ray
PA
and
lateral
and
lordotic
upright
39078-1
Finger
X-ray
PA
and
lateral
and
oblique
36755-7
Hand
X-ray
PA
and
lateral
and
oblique
36756-5
Hand
-
bilateral
X-ray
PA
and
lateral
and
oblique
36757-3
Hand
-
left
X-ray
PA
and
lateral
and
oblique
37715-0
Hand
-
right
X-ray
PA
and
lateral
and
oblique
37884-4
Sternum
X-ray
PA
and
lateral
and
oblique
37549-3
Wrist
-
bilateral
X-ray
PA
and
lateral
and
oblique
37550-1
Wrist
-
left
X-ray
PA
and
lateral
and
oblique
37836-4
Wrist
-
right
X-ray
PA
and
lateral
and
oblique
36758-1
Chest
X-ray
PA
and
lateral
and
oblique
and
lordotic
37148-4
Mandible
X-ray
PA
and
lateral
and
oblique
and
Towne
37147-6
Chest
X-ray
PA
and
lateral
and
right
oblique
30742-1
Chest
X-ray
PA
and
lateral
and
right
oblique
and
left
oblique
30743-9
Chest
X-ray
PA
and
lateral
and
right
oblique
and
left
oblique
portable
30744-7
Chest
X-ray
PA
and
lateral
and
right
or-left
oblique
24643-9
Chest
X-ray
PA
and
lateral
and
right
or-left
oblique
upright
37149-2
Patella
-
left
X-ray
PA
and
lateral
and
Sunrise
38790-2
Patella
-
right
X-ray
PA
and
lateral
and
Sunrise
37859-6
Sinuses
X-ray
PA
and
lateral
and
Waters
69271-5
Skull
X-ray
PA
and
lateral
and
Waters
and
Towne
24647-0
Chest
X-ray
PA
and
lateral
upright
24644-7
Chest
X-ray
PA
and
lateral
upright
portable
36759-9
Chest
X-ray
PA
and
lordotic
39079-9
Hand
X-ray
PA
and
oblique
37141-9
Chest
X-ray
PA
and
right
lateral
39519-4
Skull
X-ray
PA
and
right
lateral
and
left
lateral
39521-0
Skull
X-ray
PA
and
right
lateral
and
left
lateral
and
Caldwell
and
Towne
39520-2
Skull
X-ray
PA
and
right
lateral
and
left
lateral
and
Towne
24646-2
Chest
X-ray
PA
and
right
lateral
and
right
oblique
and
left
oblique
upright
24645-4
Chest
X-ray
PA
and
right
lateral
and
right
oblique
and
left
oblique
upright
portable
37150-0
Chest
X-ray
PA
and
right
oblique
and
left
oblique
24635-5
Chest
X-ray
PA
upright
W
inspiration
and
expiration
46378-6
Knee
-
bilateral
X-ray
PA
standing
and
W
flexion
43660-0
Heart
Scan
perfusion
qualitative
at
rest
and
W
radionuclide
IV
43661-8
Heart
Scan
perfusion
quantitative
at
rest
and
W
radionuclide
IV
43658-4
Heart
Scan
perfusion
quantitative
43656-8
Lung
Scan
perfusion
quantitative
39719-0
Heart
Scan
perfusion
at
rest
and
W
adenosine
and
W
radionuclide
IV
43777-2
Heart
Scan
perfusion
at
rest
and
W
adenosine
and
W
Tl-201
IV
39722-4
Heart
Scan
perfusion
at
rest
and
W
dipyridamole
and
W
radionuclide
IV
39720-8
Heart
Scan
perfusion
at
rest
and
W
dipyridamole
and
W
Tc-99m
Sestamibi
IV
39728-1
Heart
Scan
perfusion
at
rest
and
W
radionuclide
IV
39726-5
Heart
Scan
perfusion
at
rest
and
W
stress
and
W
radionuclide
IV
39727-3
Heart
Scan
perfusion
at
rest
and
W
stress
and
W
Tc-99m
Sestamibi
IV
39699-4
Heart
Scan
perfusion
at
rest
and
W
Tc-99m
Sestamibi
IV
39701-8
Heart
Scan
perfusion
W
adenosine
and
W
radionuclide
IV
39731-5
Heart
Scan
perfusion
W
adenosine
and
W
Tc-99m
Sestamibi
IV
39735-6
Heart
Scan
perfusion
W
adenosine
and
W
Tl-201
IV
39708-3
Heart
Scan
perfusion
W
dipyridamole
and
W
radionuclide
IV
39709-1
Heart
Scan
perfusion
W
dipyridamole
and
W
Tc-99m
IV
39705-9
Heart
Scan
perfusion
W
dipyridamole
and
W
Tc-99m
Sestamibi
IV
39707-5
Heart
Scan
perfusion
W
dipyridamole
and
W
Tl-201
IV
39703-4
Heart
Scan
perfusion
W
dobutamine
and
W
radionuclide
IV
39702-6
Heart
Scan
perfusion
W
dobutamine
and
W
Tc-99m
Sestamibi
IV
39733-1
Heart
Scan
perfusion
W
dobutamine
and
W
Tl-201
IV
39941-0
Lung
Scan
perfusion
W
particulate
radionuclide
IV
39833-9
Lung
Scan
perfusion
W
radionuclide
gaseous
inhaled
39716-6
Heart
Scan
perfusion
39697-8
Lung
Scan
perfusion
39730-7
Heart
Scan
perfusion
W
stress
and
W
radionuclide
IV
39732-3
Heart
Scan
perfusion
W
stress
and
W
Tc-99m
Sestamibi
IV
39715-8
Heart
Scan
perfusion
W
stress
and
W
Tl-201
IV
39704-2
Heart
Scan
perfusion
W
Tc-99m
Sestamibi
IV
39714-1
Heart
Scan
perfusion
W
Tl-201
IV
39713-3
Heart
Scan
perfusion
W
Tl-201
IV
and
Tc-99m
Tetrofosmin
IV
30765-2
Acetabulum
X-ray
portable
30764-5
Acetabulum
-
bilateral
X-ray
portable
41823-6
Ankle
-
left
X-ray
portable
41782-4
Ankle
-
right
X-ray
portable
30746-2
Chest
X-ray
portable
41827-7
Elbow
-
left
X-ray
portable
41786-5
Elbow
-
right
X-ray
portable
41773-3
Facial
bones
X-ray
portable
41818-6
Femur
-
left
X-ray
portable
41778-2
Femur
-
right
X-ray
portable
43570-1
Hand
X-ray
portable
41829-3
Hand
-
left
X-ray
portable
41788-1
Hand
-
right
X-ray
portable
37168-2
Hip
X-ray
portable
37169-0
Hip
-
left
X-ray
portable
38796-9
Hip
-
right
X-ray
portable
37170-8
Humerus
X-ray
portable
41825-1
Humerus
-
left
X-ray
portable
41784-0
Humerus
-
right
X-ray
portable
41820-2
Knee
-
left
X-ray
portable
41779-0
Knee
-
right
X-ray
portable
30792-6
Patella
X-ray
portable
30772-8
Pelvis
X-ray
portable
30747-0
Ribs
X-ray
portable
41831-9
Ribs
-
left
X-ray
portable
41791-5
Ribs
-
right
X-ray
portable
46391-9
Shoulder
X-ray
portable
41824-4
Shoulder
-
left
X-ray
portable
41783-2
Shoulder
-
right
X-ray
portable
30723-1
Skull
X-ray
portable
37171-6
Spine
Cervical
X-ray
portable
44203-8
Spine
Cervical
and
Thoracic
and
Lumbar
X-ray
portable
37172-4
Spine
Lumbar
X-ray
portable
41828-5
Wrist
-
left
X-ray
portable
41787-3
Wrist
-
right
X-ray
portable
37151-8
Unspecified
body
region
Fluoroscopy
portable
30731-4
Zygomatic
arch
X-ray
portable
30730-6
Zygomatic
arch
-
bilateral
X-ray
portable
24634-8
Chest
X-ray
portable
W
inspiration
and
expiration
24824-5
Lung
Scan
portable
42402-8
Unspecified
body
region
X-ray
post
mortem
43657-6
Lung
Scan
quantitative
30733-0
Chest
X-ray
right
and
left
oblique
portable
37131-0
Abdomen
X-ray
right
lateral
and
left
lateral
37138-5
Abdomen
X-ray
right
oblique
and
left
oblique
41792-3
Chest
X-ray
right
oblique
and
left
oblique
24651-2
Chest
X-ray
right
oblique
and
left
oblique
upright
42414-3
Chest
X-ray
right
oblique
and
left
oblique
W
nipple
markers
37016-3
Breast
-
bilateral
Mammogram
roll
37017-1
Breast
-
left
Mammogram
roll
37775-4
Breast
-
right
Mammogram
roll
30740-5
Chest
X-ray
right
or-left
oblique
30739-7
Chest
X-ray
right
or-left
oblique
portable
43479-5
Aorta
abdominal
Fluoroscopic
angiogram
runoff
W
contrast
IA
30838-7
Aorta
and
Femoral
artery
-
bilateral
Fluoroscopic
angiogram
runoff
W
contrast
IA
37364-7
Aorta
and
Femoral
artery
-
left
Fluoroscopic
angiogram
runoff
W
contrast
IA
38799-3
Aorta
and
Femoral
artery
-
right
Fluoroscopic
angiogram
runoff
W
contrast
IA
38107-9
Wrist
X-ray
scaphoid
37304-3
Wrist
-
bilateral
X-ray
scaphoid
37302-7
Wrist
-
left
X-ray
scaphoid
38115-2
Wrist
-
right
X-ray
scaphoid
24930-0
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
30715-7
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
and
lateral
42424-2
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
and
lateral
sitting
39367-8
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
and
lateral
standing
42472-1
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
in
traction
42425-9
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
standing
and
W
right
bending
and
W
left
bending
and
WO
bending
43569-3
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
AP
upright
and
supine
30716-5
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
lateral
30717-3
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
standing
24929-2
Spine
Thoracic
and
Lumbar
X-ray
scoliosis
W
flexion
and
W
extension
24606-6
Breast
Mammogram
screening
39153-2
Breast
FFD
mammogram
screening
69159-2
Breast
implant
X-ray
screening
48492-3
Breast
implant
-
bilateral
Mammogram
screening
26175-0
Breast
-
bilateral
Mammogram
screening
42174-3
Breast
-
bilateral
FFD
mammogram
screening
26176-8
Breast
-
left
Mammogram
screening
46355-4
Breast
-
left
FFD
mammogram
screening
26177-6
Breast
-
right
Mammogram
screening
46354-7
Breast
-
right
FFD
mammogram
screening
46356-2
Breast
-
unilateral
Mammogram
screening
37022-1
Calcaneus
X-ray
ski
jump
37021-3
Calcaneus
-
bilateral
X-ray
ski
jump
37023-9
Calcaneus
-
left
X-ray
ski
jump
38778-7
Calcaneus
-
right
X-ray
ski
jump
37551-9
Breast
Mammogram
spot
37552-7
Breast
-
bilateral
Mammogram
spot
38807-4
Breast
-
right
Mammogram
spot
37553-5
Breast
-
left
Mammogram
spot
compression
43550-3
Brain
Scan
static
and
flow
39952-7
Scrotum
and
Testicle
Scan
static
and
flow
39676-2
Scan
static
for
infection
W
GA-67
IV
39894-1
Heart
Scan
static
for
shunt
detection
39896-6
Scan
static
for
tumor
W
GA-67
IV
39814-9
Bone
Scan
static
limited
39634-1
Brain
Scan
static
limited
39903-0
Bone
Scan
static
multiple
areas
39817-2
Bone
Scan
static
whole
body
39815-6
Bone
Scan
static
39824-8
Bone
marrow
Scan
static
39633-3
Brain
Scan
static
39853-7
Kidney
-
bilateral
Scan
static
39832-1
Liver
Scan
static
39878-4
Liver
and
Spleen
Scan
static
39900-6
Salivary
gland
Scan
static
39855-2
Scrotum
and
Testicle
Scan
static
43501-6
Vessel
Scan
static
44150-1
Brain
Scan
static
W
Tc-99m
bicisate
IV
39854-5
Kidney
-
bilateral
Scan
static
W
Tc-99m
DMSA
IV
37153-4
Mastoid
X-ray
Stenver
and
Arcelin
69136-0
Knee
X-ray
Sunrise
and
tunnel
37163-3
Knee
-
bilateral
X-ray
Sunrise
and
tunnel
37156-7
Knee
-
left
X-ray
Sunrise
and
tunnel
37759-8
Knee
-
right
X-ray
Sunrise
and
tunnel
39345-4
Knee
-
left
X-ray
Sunrise
and
tunnel
standing
69255-8
Knee
-
right
X-ray
Sunrise
and
tunnel
standing
38088-1
Knee
-
bilateral
X-ray
Sunrise
20
and
40
and
60
degrees
38087-3
Knee
-
left
X-ray
Sunrise
20
and
40
and
60
degrees
38824-9
Knee
-
right
X-ray
Sunrise
20
and
40
and
60
degrees
24579-5
Bones
long
X-ray
survey
43518-0
Bones
X-ray
survey
37365-4
Bones
X-ray
survey
for
metastasis
39518-6
Bones
long
X-ray
survey
limited
43519-8
Bones
X-ray
survey
limited
38089-9
Bones
X-ray
survey
limited
for
metastasis
37159-1
Foot
-
left
X-ray
tarsal
38792-8
Foot
-
right
X-ray
tarsal
43796-2
Wrist
-
bilateral
X-ray
tunnel.carpal
69304-4
Wrist
X-ray
ulnar
deviation
69303-6
Wrist
X-ray
ulnar
deviation
and
radial
deviation
69072-7
Wrist
-
bilateral
X-ray
ulnar
deviation
and
radial
deviation
37555-0
Wrist
-
left
X-ray
ulnar
deviation
and
radial
deviation
38808-2
Wrist
-
right
X-ray
ulnar
deviation
and
radial
deviation
43532-1
Chest
and
Abdomen
X-ray
upright
and
PA
chest
39944-4
Lung
Scan
ventilation
and
equilibrium
and
washout
W
radionuclide
inhaled
39948-5
Lung
Scan
ventilation
and
equilibrium
and
washout
W
radionuclide
inhaled
single
breath
39947-7
Lung
Scan
ventilation
and
equilibrium
W
radionuclide
inhaled
single
breath
39946-9
Lung
Scan
ventilation
and
perfusion
and
differential
W
radionuclide
inhaled
and
W
radionuclide
IV
39943-6
Lung
Scan
ventilation
and
perfusion
W
radionuclide
inhaled
and
W
particulate
radionuclide
IV
30697-7
Pulmonary
system
Scan
ventilation
and
perfusion
W
radionuclide
inhaled
and
W
radionuclide
IV
39942-8
Lung
Scan
ventilation
and
perfusion
W
radionuclide
inhaled
single
breath
and
W
particulate
radionuclide
IV
24888-0
Pulmonary
system
Scan
ventilation
and
perfusion
W
Xe-133
inhaled
and
W
Tc-99m
MAA
IV
39835-4
Lung
Scan
ventilation
W
radionuclide
aerosol
inhaled
39836-2
Lung
Scan
ventilation
W
radionuclide
gaseous
inhaled
39945-1
Lung
Scan
ventilation
W
radionuclide
gaseous
inhaled
single
breath
39837-0
Lung
Scan
ventilation
W
radionuclide
inhaled
39834-7
Lung
Scan
ventilation
W
Tc-99m
DTPA
aerosol
inhaled
46361-2
Lung
Scan
ventilation
W
Xe-133
inhaled
39932-9
Heart
Scan
wall
motion
and
ejection
fraction
39873-5
Heart
Scan
wall
motion
39683-8
Scan
whole
body
W
GA-67
IV
39698-6
Scan
whole
body
W
I-131
MIBG
IV
39845-3
Scan
whole
body
W
In-111
Satumomab
IV
42711-2
Scan
whole
body
W
In-111
tagged
WBC
IV
42175-0
Scan
whole
body
39818-0
Bone
Scan
whole
body
39826-3
Bone
marrow
Scan
whole
body
39669-7
Scan
whole
body
W
Tc-99m
Arcitumomab
IV
24713-0
Gallbladder
X-ray
48
hours
post
contrast
PO
39660-6
Heart
Scan
at
rest
and
W
dipyridamole
and
W
radionuclide
IV
39661-4
Heart
Scan
at
rest
and
W
dobutamine
and
W
radionuclide
IV
39663-0
Heart
Scan
at
rest
and
W
stress
and
W
radionuclide
IV
42309-5
Heart
Scan
at
rest
and
W
stress
and
W
Tl-201
IV
24750-2
Heart
Scan
at
rest
and
W
Tl-201
IV
43459-7
Brain
Scan
during
electroconvulsive
shock
treatment
24577-9
Bone
X-ray
during
surgery
47372-8
Hip
X-ray
during
surgery
25070-4
Unspecified
body
region
Fluoroscopy
during
surgery
24574-6
Biliary
ducts
and
Gallbladder
Fluoroscopy
during
surgery
W
contrast
biliary
duct
46352-1
Breast
duct
Mammogram
during
surgery
W
contrast
intra
duct
43485-2
Kidney
X-ray
during
surgery
W
contrast
retrograde
39150-8
Breast
FFD
mammogram
Post
Localization
69251-7
Breast
Mammogram
Post
Wire
Placement
42415-0
Breast
-
bilateral
Mammogram
Post
Wire
Placement
42416-8
Breast
-
left
Mammogram
Post
Wire
Placement
37201-1
Ankle
X-ray
standing
37202-9
Ankle
-
bilateral
X-ray
standing
37203-7
Ankle
-
left
X-ray
standing
37676-4
Ankle
-
right
X-ray
standing
37205-2
Calcaneus
X-ray
standing
37206-0
Calcaneus
-
left
X-ray
standing
37720-0
Calcaneus
-
right
X-ray
standing
38845-4
Femur
-
left
X-ray
standing
37693-9
Femur
-
right
X-ray
standing
24708-0
Foot
X-ray
standing
26094-3
Foot
-
bilateral
X-ray
standing
26095-0
Foot
-
left
X-ray
standing
26096-8
Foot
-
right
X-ray
standing
37584-0
Great
toe
-
left
X-ray
standing
38810-8
Great
toe
-
right
X-ray
standing
24809-6
Knee
X-ray
standing
26085-1
Knee
-
bilateral
X-ray
standing
26086-9
Knee
-
left
X-ray
standing
26087-7
Knee
-
right
X-ray
standing
37204-5
Lower
extremity
X-ray
standing
69264-0
Sacrum
X-ray
standing
37208-6
Spine
Lumbar
X-ray
standing
69275-6
Spine
Thoracic
X-ray
standing
38124-4
Spine
Thoracic
and
Lumbar
X-ray
standing
37899-2
Tibia
and
Fibula
X-ray
standing
37209-4
Toes
-
left
X-ray
standing
37823-2
Toes
-
right
X-ray
standing
44233-5
Kidney
-
bilateral
Scan
W
and
WO
Tc-99m
DTPA
IV
44232-7
Kidney
-
bilateral
Scan
W
and
WO
Tc-99m
Mertiatide
IV
37579-0
Acromioclavicular
Joint
X-ray
W
and
WO
weight
37580-8
Acromioclavicular
joint
-
bilateral
X-ray
W
and
WO
weight
37581-6
Acromioclavicular
joint
-
left
X-ray
W
and
WO
weight
37663-2
Acromioclavicular
joint
-
right
X-ray
W
and
WO
weight
39651-5
Heart
Scan
W
adenosine
and
W
Tl-201
IV
38090-7
Breast
-
bilateral
Mammogram
W
air
38091-5
Breast
-
left
Mammogram
W
air
39059-1
Gastrointestine
upper
Fluoroscopy
W
air
and
barium
contrast
PO
24666-0
Colon
Fluoroscopy
W
air
and
barium
contrast
PR
46357-0
Colon
Fluoroscopy
W
air
contrast
PR
30633-2
Esophagus
Fluoroscopy
W
barium
contrast
PO
42683-3
Gastrointestine
upper
Fluoroscopy
W
barium
contrast
PO
43574-3
Upper
Gastrointestine
and
Small
bowel
Fluoroscopy
W
barium
contrast
PO
44227-7
Colon
Fluoroscopy
W
barium
contrast
PR
37565-9
Unspecified
body
region
Fluoroscopy
W
barium
contrast
via
fistula
38092-3
Urinary
bladder
Fluoroscopy
W
chain
and
contrast
intra
bladder
41770-9
Gallbladder
Scan
W
cholecystokinin
and
W
radionuclide
IV
43650-1
Liver
and
Biliary
ducts
and
Gallbladder
Scan
W
cholecystokinin
and
W
radionuclide
IV
30630-8
Head
Cistern
Fluoroscopy
video
W
contrast
30824-7
Intercranial
vessel
and
Neck
Vessel
Fluoroscopic
angiogram
W
contrast
37585-7
Jejunum
Fluoroscopy
W
contrast
38853-8
Lower
extremity
vessels
-
left
Fluoroscopic
angiogram
W
contrast
37765-5
Lower
extremity
vessels
-
right
Fluoroscopic
angiogram
W
contrast
37615-2
Pelvis
vessels
Fluoroscopic
angiogram
W
contrast
37936-2
Peripheral
vessels
Fluoroscopic
angiogram
W
contrast
37640-0
Renal
vessels
Fluoroscopic
angiogram
W
contrast
64140-7
Renal
vessels
-
left
Fluoroscopic
angiogram
W
contrast
64141-5
Renal
vessels
-
right
Fluoroscopic
angiogram
W
contrast
38094-9
Spine.cavity
Fluoroscopy
W
contrast
37973-5
Testicle
vessels
Fluoroscopy
W
contrast
25005-0
Three
vessels
Fluoroscopic
angiogram
W
contrast
25014-2
Two
vessels
Fluoroscopic
angiogram
W
contrast
37976-8
Upper
extremity
vessels
Fluoroscopic
angiogram
W
contrast
42014-1
Urinary
Bladder
and
Urethra
Fluoroscopy
W
contrast
37980-0
Vertebral
vessels
Fluoroscopic
angiogram
W
contrast
37981-8
Visceral
vessels
Fluoroscopic
angiogram
W
contrast
37575-8
Gallbladder
X-ray
W
contrast
and
fatty
meal
PO
38101-2
Kidney
X-ray
W
contrast
antegrade
46376-0
Kidney
-
bilateral
Fluoroscopy
W
contrast
antegrade
38100-4
Urinary
Bladder
and
Urethra
Fluoroscopy
W
contrast
antegrade
38102-0
Kidney
X-ray
W
contrast
antegrade
via
pyelostomy
25030-8
Abdominal
Arteries
Fluoroscopic
angiogram
W
contrast
IA
30832-0
Adrenal
artery
Fluoroscopic
angiogram
W
contrast
IA
30831-2
Adrenal
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37387-8
Adrenal
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37939-6
Adrenal
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
38861-1
Ankle
arteries
-
left
Fluoroscopic
angiogram
W
contrast
IA
37941-2
Ankle
arteries
-
right
Fluoroscopic
angiogram
W
contrast
IA
24658-7
Aorta
Fluoroscopic
angiogram
W
contrast
IA
30837-9
Aorta
abdominal
Fluoroscopic
angiogram
W
contrast
IA
24546-4
Aorta
arch
and
Neck
Fluoroscopic
angiogram
W
contrast
IA
37366-2
Abdominal
Aorta
and
Arteries
Fluoroscopic
angiogram
W
contrast
IA
69054-5
Aortic
arch
Fluoroscopic
angiogram
W
contrast
IA
37380-3
Aortic
arch
and
Brachial
artery
Fluoroscopic
angiogram
W
contrast
IA
37381-1
Aortic
arch
and
Carotid
artery
Fluoroscopic
angiogram
W
contrast
IA
37587-3
Aortic
arch
and
Carotid
artery
-
bilateral
and
Vertebral
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37588-1
Aortic
arch
and
Carotid
artery.common
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37589-9
Aortic
arch
and
Carotid
artery.common
-
left
Fluoroscopic
angiogram
W
contrast
IA
37590-7
Aortic
arch
and
Carotid
artery.common
-
right
Fluoroscopic
angiogram
W
contrast
IA
37591-5
Aortic
arch
and
Carotid
artery.external
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37592-3
Aortic
arch
and
Carotid
artery.external
-
left
Fluoroscopic
angiogram
W
contrast
IA
37593-1
Aortic
arch
and
Carotid
artery.external
-
right
Fluoroscopic
angiogram
W
contrast
IA
37594-9
Aortic
arch
and
Carotid
artery
and
Vertebral
artery
Fluoroscopic
angiogram
W
contrast
IA
37382-9
Aortic
arch
and
Subclavian
artery
Fluoroscopic
angiogram
W
contrast
IA
37383-7
Aortic
arch
and
Subclavian
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
38800-9
Aortic
arch
and
Subclavian
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
37379-5
Aortic
arch
and
Upper
Extremity
artery
Fluoroscopic
angiogram
W
contrast
IA
37384-5
Aortic
arch
and
Vertebral
artery
Fluoroscopic
angiogram
W
contrast
IA
37385-2
Aortic
arch
and
Vertebral
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37386-0
Aortic
arch
and
Vertebral
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
24551-4
AV
fistula
Fluoroscopic
angiogram
W
contrast
IA
30828-8
Brachial
artery
Fluoroscopic
angiogram
W
contrast
IA
37388-6
Brachial
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
24581-1
Brachial
artery
and
Subclavian
artery
Fluoroscopic
angiogram
W
contrast
IA
69077-6
Brachiocephalic
artery
Fluoroscopic
angiogram
W
contrast
IA
37389-4
Bronchial
artery
Fluoroscopic
angiogram
W
contrast
IA
24617-3
Carotid
artery
Fluoroscopic
angiogram
W
contrast
IA
26079-4
Carotid
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
39097-1
Carotid
artery
-
bilateral
and
Cerebral
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
39094-8
Carotid
artery.cervical
Fluoroscopic
angiogram
W
contrast
IA
39098-9
Carotid
artery.cervical
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
38863-7
Carotid
artery.cervical
-
left
Fluoroscopic
angiogram
W
contrast
IA
37945-3
Carotid
artery.cervical
-
right
Fluoroscopic
angiogram
W
contrast
IA
30821-3
Carotid
artery.external
Fluoroscopic
angiogram
W
contrast
IA
30820-5
Carotid
artery.external
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37390-2
Carotid
artery.external
-
left
Fluoroscopic
angiogram
W
contrast
IA
37948-7
Carotid
artery.external
-
right
Fluoroscopic
angiogram
W
contrast
IA
38864-5
Carotid
artery.internal
-
left
Fluoroscopic
angiogram
W
contrast
IA
37952-9
Carotid
artery.internal
-
right
Fluoroscopic
angiogram
W
contrast
IA
26080-2
Carotid
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
26081-0
Carotid
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
39095-5
Carotid
artery
and
Cerebral
artery
Fluoroscopic
angiogram
W
contrast
IA
38865-2
Carotid
artery
and
Cerebral
artery
internal
-
left
Fluoroscopic
angiogram
W
contrast
IA
37953-7
Carotid
artery
and
Cerebral
artery
internal
-
right
Fluoroscopic
angiogram
W
contrast
IA
38862-9
Carotid
artery
and
Cerebral
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37944-6
Carotid
artery
and
Cerebral
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
37391-0
Carotid
artery
and
Vertebral
artery
Fluoroscopic
angiogram
W
contrast
IA
37392-8
Carotid
artery
and
Vertebral
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37393-6
Carotid
artery+Vertebral
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37943-8
Carotid
artery+Vertebral
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
24622-3
Celiac
artery
Fluoroscopic
angiogram
W
contrast
IA
37403-3
Celiac
artery
and
Gastric
artery
-
left
and
Superior
mesenteric
artery
Fluoroscopic
angiogram
W
contrast
IA
37394-4
Celiac
artery
and
Superior
mesenteric
artery
and
Inferior
mesenteric
artery
Fluoroscopic
angiogram
W
contrast
IA
37173-2
Cerebral
artery
Fluoroscopic
angiogram
W
contrast
IA
30891-6
Cervicocerebral
artery
Fluoroscopic
angiogram
W
contrast
IA
37174-0
Coronary
arteries
Fluoroscopic
angiogram
W
contrast
IA
37595-6
Coronary
graft
Fluoroscopic
angiogram
W
contrast
IA
30848-6
Extremity
arteries
Fluoroscopic
angiogram
W
contrast
IA
30849-4
Extremity
arteries
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37395-1
Extremity
arteries
-
left
Fluoroscopic
angiogram
W
contrast
IA
37949-5
Extremity
arteries
-
right
Fluoroscopic
angiogram
W
contrast
IA
37175-7
Femoral
artery
Fluoroscopic
angiogram
W
contrast
IA
37176-5
Femoral
artery
and
Popliteal
artery
Fluoroscopic
angiogram
W
contrast
IA
37397-7
Gastric
artery
Fluoroscopic
angiogram
W
contrast
IA
37398-5
Gastric
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
38801-7
Gastric
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
37399-3
Gastroduodenal
artery
Fluoroscopic
angiogram
W
contrast
IA
30822-1
Head
artery
-
bilateral
and
Neck
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
62448-6
Head
artery.left+Neck
artery.left
Fluoroscopic
angiogram
W
contrast
IA
62449-4
Head
artery.right+Neck
artery.right
Fluoroscopic
angiogram
W
contrast
IA
30823-9
Head
artery
and
Neck
artery
Fluoroscopic
angiogram
W
contrast
IA
25076-1
Hepatic
artery
Fluoroscopic
angiogram
W
contrast
IA
43782-2
Iliac
artery
Fluoroscopic
angiogram
W
contrast
IA
37177-3
Iliac
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
24862-5
Iliac
artery
Internal
Fluoroscopic
angiogram
W
contrast
IA
37178-1
Iliac
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37739-0
Iliac
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
37179-9
Inferior
mesenteric
artery
Fluoroscopic
angiogram
W
contrast
IA
25079-5
Kidney
arteries
Fluoroscopic
angiogram
W
contrast
IA
37487-6
Lower
extremity
arteries
Fluoroscopic
angiogram
W
contrast
IA
47986-5
Lower
extremity
arteries
-
left
Fluoroscopic
angiogram
W
contrast
IA
47987-3
Lower
extremity
arteries
-
right
Fluoroscopic
angiogram
W
contrast
IA
30829-6
Internal
mammary
artery
Fluoroscopic
angiogram
W
contrast
IA
64995-4
Mammary
artery.internal
-
left
Fluoroscopic
angiogram
W
contrast
IA
65000-2
Mammary
artery.internal
-
right
Fluoroscopic
angiogram
W
contrast
IA
37401-7
Maxillary
artery.internal
Fluoroscopic
angiogram
W
contrast
IA
24833-6
Mesenteric
artery
Fluoroscopic
angiogram
W
contrast
IA
24860-9
Pancreatic
artery
Fluoroscopic
angiogram
W
contrast
IA
30833-8
Pelvis
arteries
Fluoroscopic
angiogram
W
contrast
IA
37935-4
Pelvis
arteries
and
Lower
extremity
arteries
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
24874-0
Peripheral
arteries
Fluoroscopic
angiogram
W
contrast
IA
44240-0
Peripheral
arteries
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
69249-1
Popliteal
artery
Fluoroscopic
angiogram
W
contrast
IA
37181-5
Popliteal
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37778-8
Popliteal
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
37404-1
Pudendal
artery.internal
Fluoroscopic
angiogram
W
contrast
IA
39057-5
Pulmonary
artery
Fluoroscopic
angiogram
W
contrast
IA
30830-4
Pulmonary
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37182-3
Pulmonary
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37779-6
Pulmonary
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
30834-6
Renal
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
62446-0
Renal
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
62447-8
Renal
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
24925-0
Spinal
artery
Fluoroscopic
angiogram
W
contrast
IA
26082-8
Spinal
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
26083-6
Spinal
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
26084-4
Spinal
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
24992-0
Splenic
artery
Fluoroscopic
angiogram
W
contrast
IA
24991-2
Splenic
vein
and
Portal
vein
Fluoroscopic
angiogram
W
contrast
IA
37886-9
Subclavian
artery
Fluoroscopic
angiogram
W
contrast
IA
37405-8
Subclavian
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37406-6
Subclavian
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37966-9
Subclavian
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
37180-7
Superior
mesenteric
artery
Fluoroscopic
angiogram
W
contrast
IA
37402-5
Superior
mesenteric
artery
and
Inferior
mesenteric
artery
Fluoroscopic
angiogram
W
contrast
IA
38119-4
Thoracic
artery
Fluoroscopic
angiogram
W
contrast
IA
37900-8
Tibial
artery
Fluoroscopic
angiogram
W
contrast
IA
37489-2
Tibioperoneal
arteries
Fluoroscopic
angiogram
W
contrast
IA
37977-6
Upper
extremity
arteries
Fluoroscopic
angiogram
W
contrast
IA
37396-9
Upper
extremity
arteries
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37488-4
Upper
extremity
arteries
-
left
Fluoroscopic
angiogram
W
contrast
IA
37967-7
Upper
extremity
arteries
-
right
Fluoroscopic
angiogram
W
contrast
IA
24576-1
Urinary
bladder
arteries
Fluoroscopic
angiogram
W
contrast
IA
37979-2
Uterine
artery
Fluoroscopic
angiogram
W
contrast
IA
37407-4
Vertebral
artery
-
bilateral
Fluoroscopic
angiogram
W
contrast
IA
37490-0
Vertebral
artery
-
left
Fluoroscopic
angiogram
W
contrast
IA
37968-5
Vertebral
artery
-
right
Fluoroscopic
angiogram
W
contrast
IA
42156-0
Vessels
Fluoroscopic
angiogram
W
contrast
IA
25017-5
Urinary
Bladder
and
Urethra
Fluoroscopy
W
contrast
intra
bladder
43559-4
Urinary
Bladder
and
Urethra
Fluoroscopy
W
contrast
intra
bladder
during
voiding
37586-5
Penis
Fluoroscopy
W
contrast
intra
corpus
cavernosum
39054-2
Breast
duct
Mammogram
W
contrast
intra
duct
38095-6
Breast
duct
-
bilateral
Mammogram
W
contrast
intra
duct
38096-4
Breast
duct
-
left
Mammogram
W
contrast
intra
duct
38825-6
Breast
duct
-
right
Mammogram
W
contrast
intra
duct
30810-6
Lacrimal
duct
Fluoroscopy
W
contrast
intra
lacrimal
duct
38098-0
Lacrimal
duct
-
bilateral
Fluoroscopy
W
contrast
intra
lacrimal
duct
38099-8
Lacrimal
duct
-
left
Fluoroscopy
W
contrast
intra
lacrimal
duct
38827-2
Lacrimal
duct
-
right
Fluoroscopy
W
contrast
intra
lacrimal
duct
24845-0
Neck
Fluoroscopy
W
contrast
intra
larynx
30850-2
Extremity
lymphatics
Fluoroscopy
W
contrast
intra
lymphatic
30851-0
Extremity
lymphatics
-
bilateral
Fluoroscopy
W
contrast
intra
lymphatic
37599-8
Extremity
lymphatics
-
left
Fluoroscopy
W
contrast
intra
lymphatic
38812-4
Extremity
lymphatics
-
right
Fluoroscopy
W
contrast
intra
lymphatic
24827-8
Lymphatics
Fluoroscopy
W
contrast
intra
lymphatic
30839-5
Lymphatics
abdominal
Fluoroscopy
W
contrast
intra
lymphatic
30840-3
Lymphatics
abdominal
-
bilateral
Fluoroscopy
W
contrast
intra
lymphatic
37597-2
Lymphatics
abdominal
and
Lymphatics
pelvic
Fluoroscopy
W
contrast
intra
lymphatic
37598-0
Lymphatics
abdominal
and
Lymphatics
pelvic
-
bilateral
Fluoroscopy
W
contrast
intra
lymphatic
37596-4
Lymphatics
abdominal
and
Lymphatics
pelvic
-
left
Fluoroscopy
W
contrast
intra
lymphatic
38811-6
Lymphatics
abdominal
and
Lymphatics
pelvic
-
right
Fluoroscopy
W
contrast
intra
lymphatic
37600-4
Lymphatics
-
left
Fluoroscopy
W
contrast
intra
lymphatic
39510-3
Lymphatics
pelvic
Fluoroscopy
W
contrast
intra
lymphatic
37601-2
Lymphatics
pelvic
-
bilateral
Fluoroscopy
W
contrast
intra
lymphatic
38813-2
Lymphatics
-
right
Fluoroscopy
W
contrast
intra
lymphatic
39148-2
Breast
duct
Mammogram
W
contrast
intra
multiple
ducts
39146-6
Breast
duct
-
bilateral
Mammogram
W
contrast
intra
multiple
ducts
39145-8
Breast
duct
-
left
Mammogram
W
contrast
intra
multiple
ducts
39147-4
Breast
duct
-
right
Mammogram
W
contrast
intra
multiple
ducts
24661-1
Pleural
space
Fluoroscopy
W
contrast
intra
pleural
space
38116-0
Parotid
gland
Fluoroscopy
W
contrast
intra
salivary
duct
38097-2
Parotid
gland
-
left
Fluoroscopy
W
contrast
intra
salivary
duct
38826-4
Parotid
gland
-
right
Fluoroscopy
W
contrast
intra
salivary
duct
24902-9
Salivary
gland
Fluoroscopy
W
contrast
intra
salivary
duct
26067-9
Salivary
gland
-
bilateral
Fluoroscopy
W
contrast
intra
salivary
duct
26068-7
Salivary
gland
-
left
Fluoroscopy
W
contrast
intra
salivary
duct
26069-5
Salivary
gland
-
right
Fluoroscopy
W
contrast
intra
salivary
duct
38153-3
Submandibular
gland
Fluoroscopy
W
contrast
intra
salivary
duct
48698-5
Submandibular
gland
-
bilateral
Fluoroscopy
W
contrast
intra
salivary
duct
42460-6
Submandibular
gland
-
left
Fluoroscopy
W
contrast
intra
salivary
duct
48696-9
Submandibular
gland
-
right
Fluoroscopy
W
contrast
intra
salivary
duct
24912-8
Sinus
tract
Fluoroscopy
W
contrast
intra
sinus
tract
24552-2
Stent
Fluoroscopy
W
contrast
intra
stent
25016-7
Urethra
Fluoroscopy
W
contrast
intra
urethra
39151-6
Vas
deferens
Fluoroscopy
W
contrast
intra
vas
deferens
37183-1
Ankle
Fluoroscopy
W
contrast
intraarticular
37184-9
Ankle
-
bilateral
Fluoroscopy
W
contrast
intraarticular
37185-6
Ankle
-
left
Fluoroscopy
W
contrast
intraarticular
37942-0
Ankle
-
right
Fluoroscopy
W
contrast
intraarticular
37186-4
Elbow
Fluoroscopy
W
contrast
intraarticular
37187-2
Elbow
-
bilateral
Fluoroscopy
W
contrast
intraarticular
37188-0
Elbow
-
left
Fluoroscopy
W
contrast
intraarticular
37947-9
Elbow
-
right
Fluoroscopy
W
contrast
intraarticular
24764-3
Hip
Fluoroscopy
W
contrast
intraarticular
26070-3
Hip
-
bilateral
Fluoroscopy
W
contrast
intraarticular
26071-1
Hip
-
left
Fluoroscopy
W
contrast
intraarticular
26072-9
Hip
-
right
Fluoroscopy
W
contrast
intraarticular
24800-5
Knee
Fluoroscopy
W
contrast
intraarticular
26073-7
Knee
-
bilateral
Fluoroscopy
W
contrast
intraarticular
26074-5
Knee
-
left
Fluoroscopy
W
contrast
intraarticular
26075-2
Knee
-
right
Fluoroscopy
W
contrast
intraarticular
37647-5
Sacroiliac
Joint
Fluoroscopy
W
contrast
intraarticular
37189-8
Sacroiliac
joint
-
bilateral
Fluoroscopy
W
contrast
intraarticular
37190-6
Sacroiliac
joint
-
left
Fluoroscopy
W
contrast
intraarticular
37785-3
Sacroiliac
joint
-
right
Fluoroscopy
W
contrast
intraarticular
24910-2
Shoulder
Fluoroscopy
W
contrast
intraarticular
26076-0
Shoulder
-
bilateral
Fluoroscopy
W
contrast
intraarticular
26077-8
Shoulder
-
left
Fluoroscopy
W
contrast
intraarticular
26078-6
Shoulder
-
right
Fluoroscopy
W
contrast
intraarticular
37901-6
Temporomandibular
joint
Fluoroscopy
W
contrast
intraarticular
37409-0
Temporomandibular
joint
-
bilateral
Fluoroscopy
W
contrast
intraarticular
37410-8
Temporomandibular
joint
-
left
Fluoroscopy
W
contrast
intraarticular
37818-2
Temporomandibular
joint
-
right
Fluoroscopy
W
contrast
intraarticular
25034-0
Wrist
Fluoroscopy
W
contrast
intraarticular
37570-9
Wrist
-
bilateral
Fluoroscopy
W
contrast
intraarticular
37571-7
Wrist
-
left
Fluoroscopy
W
contrast
intraarticular
37641-8
Wrist
-
right
Fluoroscopy
W
contrast
intraarticular
37191-4
Joint
Fluoroscopy
W
contrast
intraarticular
24825-2
Lung
X-ray
W
contrast
intrabronchial
30813-0
Lung
-
bilateral
X-ray
W
contrast
intrabronchial
64996-2
Lung
-
left
X-ray
W
contrast
intrabronchial
64997-0
Lung
-
right
X-ray
W
contrast
intrabronchial
24927-6
Spine
Fluoroscopy
W
contrast
intradisc
37192-2
Spine
Cervical
Fluoroscopy
W
contrast
intradisc
37193-0
Spine
Lumbar
Fluoroscopy
W
contrast
intradisc
70933-7
Spine
Thoracic
Fluoroscopy
W
contrast
intradisc
25022-5
Uterus
and
Fallopian
tubes
Fluoroscopy
W
contrast
intrauterine
30811-4
Posterior
fossa
Fluoroscopy
W
contrast
IT
37572-5
Spine
Fluoroscopy
W
contrast
IT
24947-4
Spine
Cervical
Fluoroscopy
W
contrast
IT
38103-8
Spine
Cervical
and
Spine
Lumbar
Fluoroscopy
W
contrast
IT
30808-0
Spine
Cervical
and
Thoracic
and
Lumbar
Fluoroscopy
W
contrast
IT
38104-6
Spine.epidural
space
Fluoroscopy
W
contrast
IT
24974-8
Spine
Lumbar
Fluoroscopy
W
contrast
IT
24985-4
Spine
Thoracic
Fluoroscopy
W
contrast
IT
69066-9
Abdominal
vessels
Fluoroscopic
angiogram
W
contrast
IV
30843-7
Adrenal
vein
Fluoroscopic
angiogram
W
contrast
IV
37602-0
Adrenal
vein
left
Fluoroscopic
angiogram
W
contrast
IV
30844-5
Adrenal
vein
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
37940-4
Adrenal
vein
-
right
Fluoroscopic
angiogram
W
contrast
IV
58746-9
AV
fistula
Fluoroscopic
angiogram
W
contrast
IV
24569-6
AV
shunt
Fluoroscopic
angiogram
W
contrast
IV
37411-6
Azygos
vein
Fluoroscopic
angiogram
W
contrast
IV
24573-8
Biliary
ducts
and
Gallbladder
X-ray
W
contrast
IV
37195-5
Cerebral
vein
Fluoroscopic
angiogram
W
contrast
IV
30819-7
Epidural
veins
Fluoroscopic
angiogram
W
contrast
IV
39055-9
Extremity
veins
Fluoroscopic
angiogram
W
contrast
IV
37412-4
Extremity
veins
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
37413-2
Extremity
veins
-
left
Fluoroscopic
angiogram
W
contrast
IV
37950-3
Extremity
veins
-
right
Fluoroscopic
angiogram
W
contrast
IV
42157-8
Extremity
vessels
Fluoroscopic
angiogram
W
contrast
IV
37416-5
Femoral
vein
Fluoroscopic
angiogram
W
contrast
IV
39093-0
Hepatic
veins
Fluoroscopic
angiogram
W
contrast
IV
37421-5
Inferior
mesenteric
vein
Fluoroscopic
angiogram
W
contrast
IV
37419-9
Intraosseous
veins
Fluoroscopic
angiogram
W
contrast
IV
37197-1
Jugular
vein
Fluoroscopic
angiogram
W
contrast
IV
37420-7
Jugular
vein
-
left
Fluoroscopic
angiogram
W
contrast
IV
37954-5
Jugular
vein
-
right
Fluoroscopic
angiogram
W
contrast
IV
37607-9
Kidney
X-ray
W
contrast
IV
24788-2
Kidney
-
bilateral
X-ray
W
contrast
IV
37414-0
Lower
extremity
veins
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
37196-3
Lower
extremity
veins
-
left
Fluoroscopic
angiogram
W
contrast
IV
37767-1
Lower
extremity
veins
-
right
Fluoroscopic
angiogram
W
contrast
IV
37574-1
Lower
extremity
vessels
Fluoroscopic
angiogram
W
contrast
IV
30825-4
Orbit
veins
Fluoroscopic
angiogram
W
contrast
IV
37422-3
Orbit
veins
-
left
Fluoroscopic
angiogram
W
contrast
IV
37958-6
Orbit
veins
-
right
Fluoroscopic
angiogram
W
contrast
IV
30852-8
Peripheral
veins
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
24685-0
Peripheral
veins
Fluoroscopic
angiogram
W
contrast
IV
69250-9
Portal
vein
Fluoroscopic
angiogram
W
contrast
IV
30847-8
Renal
vein
Fluoroscopic
angiogram
W
contrast
IV
30846-0
Renal
vein
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
37423-1
Renal
vein
-
left
Fluoroscopic
angiogram
W
contrast
IV
37959-4
Renal
vein
-
right
Fluoroscopic
angiogram
W
contrast
IV
30827-0
Sagittal
sinus
vein
Fluoroscopic
angiogram
W
contrast
IV
65803-9
Sagittal
sinus
vein
-
left
Fluoroscopic
angiogram
W
contrast
IV
65802-1
Sagittal
sinus
and
Jugular
veins
-
left
Fluoroscopic
angiogram
W
contrast
IV
65804-7
Sagittal
sinus
vein
-
right
Fluoroscopic
angiogram
W
contrast
IV
65805-4
Sagittal
sinus
and
Jugular
veins
-
right
Fluoroscopic
angiogram
W
contrast
IV
30826-2
Sagittal
sinus
and
Jugular
veins
Fluoroscopic
angiogram
W
contrast
IV
37969-3
Sinus
vein
Fluoroscopic
angiogram
W
contrast
IV
37970-1
Splenic
vein
Fluoroscopic
angiogram
W
contrast
IV
37971-9
Subclavian
vein
Fluoroscopic
angiogram
W
contrast
IV
37972-7
Superior
mesenteric
vein
Fluoroscopic
angiogram
W
contrast
IV
24550-6
Upper
extremity
veins
Fluoroscopic
angiogram
W
contrast
IV
37415-7
Upper
extremity
veins
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
38859-5
Upper
extremity
veins
-
left
Fluoroscopic
angiogram
W
contrast
IV
37824-0
Upper
extremity
veins
-
right
Fluoroscopic
angiogram
W
contrast
IV
25023-3
Vein
Fluoroscopic
angiogram
W
contrast
IV
26064-6
Vein
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
26065-3
Vein
-
left
Fluoroscopic
angiogram
W
contrast
IV
26066-1
Vein
-
right
Fluoroscopic
angiogram
W
contrast
IV
25025-8
Vena
cava
Fluoroscopic
angiogram
W
contrast
IV
30845-2
Inferior
vena
cava
Fluoroscopic
angiogram
W
contrast
IV
30645-6
Superior
vena
cava
Fluoroscopic
angiogram
W
contrast
IV
43554-5
vessels
-
left
Fluoroscopic
angiogram
W
contrast
IV
39096-3
Hepatic
veins
Fluoroscopic
angiogram
W
contrast
IV
and
W
hemodynamics
43783-0
Renal
vein
Fluoroscopic
angiogram
W
contrast
IV
and
W
renin
sampling
25080-3
Renal
vein
-
bilateral
Fluoroscopic
angiogram
W
contrast
IV
and
W
renin
sampling
30816-3
Peritoneum
Fluoroscopic
angiogram
W
contrast
percutaneous
24575-3
Biliary
ducts
and
Gallbladder
Fluoroscopy
W
contrast
percutaneous
transhepatic
37200-3
Chest
X-ray
W
contrast
PO
37199-7
Chest
Fluoroscopy
W
contrast
PO
37198-9
Esophagus
X-ray
W
contrast
PO
24678-5
Esophagus
Fluoroscopy
W
contrast
PO
24712-2
Gallbladder
X-ray
W
contrast
PO
42459-8
Gastrointestine
upper
Fluoroscopy
W
contrast
PO
24924-3
Small
bowel
Fluoroscopy
W
contrast
PO
24673-6
Duodenum
Fluoroscopy
W
contrast
PO
and
hypotonic
agent
per
ng
24681-9
Esophagus
and
Hypopharynx
Fluoroscopy
video
W
contrast
PO
during
swallowing
24667-8
Colon
Fluoroscopy
W
contrast
PR
24894-8
Rectum
and
Urinary
bladder
Fluoroscopy
W
contrast
PR
and
intra
bladder
during
defecation
and
voiding
39363-7
Fistula
Fluoroscopy
W
contrast
retrograde
38105-3
Kidney
X-ray
W
contrast
retrograde
39349-6
Kidney
-
bilateral
Fluoroscopy
W
contrast
retrograde
30761-1
Kidney
-
bilateral
Fluoroscopy
W
contrast
retrograde
via
urethra
38873-6
Kidney
-
left
and
Collecting
system
Fluoroscopy
W
contrast
retrograde
via
urethra
38113-7
Kidney
-
right
and
Collecting
system
Fluoroscopy
W
contrast
retrograde
via
urethra
25020-9
Urinary
Bladder
and
Urethra
Fluoroscopy
W
contrast
retrograde
via
urethra
30841-1
Portal
vein
Fluoroscopic
angiogram
W
contrast
transhepatic
30842-9
Portal
vein
Fluoroscopic
angiogram
W
contrast
transhepatic
and
W
hemodynamics
37566-7
Unspecified
body
region
Fluoroscopy
W
contrast
via
catheter
37567-5
Colon
Fluoroscopy
W
contrast
via
colostomy
37568-3
Unspecified
body
region
Fluoroscopy
W
contrast
via
fistula
69272-3
Small
bowel
Fluoroscopy
W
contrast
via
ileostomy
24780-9
Kidney
-
bilateral
Fluoroscopy
W
contrast
via
nephrostomy
tube
38872-8
Kidney
-
left
and
Collecting
system
Fluoroscopy
W
contrast
via
nephrostomy
tube
38112-9
Kidney
-
right
and
Collecting
system
Fluoroscopy
W
contrast
via
nephrostomy
tube
37569-1
Urinary
bladder
Fluoroscopy
W
contrast
via
suprapubic
tube
30647-2
Biliary
ducts
and
Gallbladder
Fluoroscopy
W
contrast
via
T-tube
39696-0
Lung
Scan
W
depreotide
and
W
radionuclide
IV
42161-0
Heart
Scan
W
dobutamine
and
W
radionuclide
IV
39652-3
Heart
Scan
W
dobutamine
and
W
Tl-201
IV
42383-0
Gallbladder
X-ray
W
double
dose
contrast
PO
42690-8
Spine
X-ray
W
flexion
and
W
extension
24945-8
Spine
Cervical
X-ray
W
flexion
and
W
extension
24971-4
Spine
Lumbar
X-ray
W
flexion
and
W
extension
43481-1
Joint
X-ray
W
flexion
and
W
extension
30785-0
Foot
X-ray
W
forced
dorsiflexion
43461-3
Kidney
-
bilateral
Scan
W
furosemide
and
W
radionuclide
IV
39688-7
Scan
W
GA-67
IV
24679-3
Esophagus
Fluoroscopy
W
gastrografin
PO
42684-1
Gastrointestine
upper
Fluoroscopy
W
gastrografin
PO
42681-7
Colon
Fluoroscopy
W
gastrografin
PR
37576-6
Unspecified
body
region
Fluoroscopy
W
gastrografin
via
fistula
39850-3
Kidney
-
bilateral
Scan
W
I-131
IV
25007-6
Thyroid
Scan
W
I-131
IV
39841-2
Scan
W
I-131
MIBG
IV
39857-8
Adrenal
gland
Scan
W
I-131
MIBG
IV
39624-2
Adrenal
gland
Scan
W
I-131
NP59
IV
24770-0
Joint
Scan
W
In-111
intrajoint
39846-1
Scan
W
In-111
Satumomab
IV
39738-0
Abdomen
Scan
W
In-111
Satumomab
IV
25032-4
Bone
Scan
W
In-111
tagged
WBC
IV
42708-8
Scan
W
In-111
tiuxetan
IV
30736-3
Chest
X-ray
W
inspiration
and
expiration
24682-7
Esophagus
and
Hypopharynx
Fluoroscopy
video
W
liquid
and
paste
contrast
PO
during
swallowing
37556-8
Ankle
X-ray
W
manual
stress
37557-6
Ankle
-
bilateral
X-ray
W
manual
stress
37558-4
Ankle
-
left
X-ray
W
manual
stress
37673-1
Ankle
-
right
X-ray
W
manual
stress
37559-2
Foot
-
left
X-ray
W
manual
stress
37705-1
Foot
-
right
X-ray
W
manual
stress
37560-0
Knee
X-ray
W
manual
stress
37561-8
Knee
-
bilateral
X-ray
W
manual
stress
37562-6
Knee
-
left
X-ray
W
manual
stress
37753-1
Knee
-
right
X-ray
W
manual
stress
37563-4
Thumb
-
bilateral
X-ray
W
manual
stress
37564-2
Thumb
-
left
X-ray
W
manual
stress
37814-1
Thumb
-
right
X-ray
W
manual
stress
39056-7
Unspecified
body
region
X-ray
W
manual
stress
38093-1
Chest
X-ray
W
nipple
markers
39670-5
Lacrimal
duct
Scan
W
radionuclide
intra
lacrimal
duct
64051-6
Breast
lymphatics
-
left
Scan
W
radionuclide
intra
lymphatic
64052-4
Breast
lymphatics
-
right
Scan
W
radionuclide
intra
lymphatic
24826-0
Lymphatics
Scan
W
radionuclide
intra
lymphatic
24663-7
Head
Cistern
Scan
W
radionuclide
IT
42158-6
Adrenal
gland
Scan
42776-5
AV
shunt
Scan
25031-6
Bone
Scan
24730-4
Brain
Scan
39643-2
Brain
veins
Scan
39646-5
Breast
Scan
39650-7
Heart
Scan
24776-7
Kidney
-
bilateral
Scan
30877-5
Kidney
-
bilateral
and
Renal
vessels
Scan
24804-7
Knee
Scan
26088-5
Knee
-
bilateral
Scan
26089-3
Knee
-
left
Scan
26090-1
Knee
-
right
Scan
39693-7
Liver
Scan
39694-5
Liver
transplant
Scan
43557-8
Liver
and
Biliary
ducts
and
Gallbladder
Scan
39897-4
Liver
and
Lung
Scan
39877-6
Liver
and
Spleen
Scan
39629-1
Meckels
diverticulum
Scan
39737-2
Neck
Scan
39739-8
Pancreas
Scan
39742-2
Parathyroid
Scan
39619-2
Pulmonary
system
Scan
43669-1
Renal
vessels
Scan
39747-1
Salivary
gland
Scan
30696-9
Scrotum
and
Testicle
Scan
39751-3
Spleen
Scan
30695-1
Thyroid
Scan
25018-3
Urinary
bladder
Scan
39626-7
Vein
-
bilateral
Scan
49118-3
Unspecified
body
region
Scan
39939-4
Joint
Scan
39671-3
Rectum
Scan
W
radionuclide
PO
39752-1
Spleen
Scan
W
radionuclide
tagged
heat
damaged
RBC
IV
24773-4
Kidney
-
bilateral
Scan
W
radionuclide
transplant
scan
30713-2
Spine
X-ray
W
right
bending
and
W
left
bending
42413-5
Spine
Lumbar
X-ray
W
right
bending
and
W
left
bending
43651-9
Liver
and
Biliary
ducts
and
Gallbladder
Scan
W
sincalide
and
W
radionuclide
IV
39820-6
Bone
Scan
W
SM153
IV
39666-3
Heart
Scan
W
stress
and
W
201
Th
IV
39667-1
Heart
Scan
W
stress
and
W
radionuclide
IV
69231-9
Heart
Scan
W
stress
and
W
Tc-99m
IV
69232-7
Heart
Scan
W
stress
and
W
Tc-99m
Sestamibi
IV
24819-5
Liver
and
Spleen
Scan
W
Tc-99m
calcium
colloid
IV
39744-8
Prostate
Scan
W
Tc-99m
capromab
pendatide
IV
39674-7
Gallbladder
Scan
W
Tc-99m
DISIDA
IV
41771-7
Kidney
-
bilateral
Scan
W
Tc-99m
DMSA
IV
39625-9
Artery
Scan
W
Tc-99m
DTPA
IA
39745-5
Kidney
-
bilateral
Scan
W
Tc-99m
DTPA
IV
43667-5
Kidney
-
bilateral
and
Renal
vessels
Scan
W
Tc-99m
DTPA
IV
39753-9
Scrotum
and
Testicle
Scan
W
Tc-99m
DTPA
IV
39765-3
Vein
Scan
W
Tc-99m
DTPA
IV
39642-4
Brain
Scan
W
Tc-99m
glucoheptonate
IV
44234-3
Kidney
-
bilateral
Scan
W
Tc-99m
glucoheptonate
IV
39766-1
Vein
Scan
W
Tc-99m
HDP
IV
39812-3
Bone
Scan
W
Tc-99m
HMPAO
IV
39630-9
Brain
Scan
W
Tc-99m
HMPAO
IV
39757-0
Thyroid
Scan
W
Tc-99m
IV
24831-0
Meckels
diverticulum
Scan
W
Tc-99m
M04
IV
44141-0
Liver
and
Spleen
Scan
W
Tc-99m
MAA
IV
44142-8
Bone
Scan
W
Tc-99m
medronate
IV
39746-3
Kidney
-
bilateral
Scan
W
Tc-99m
Mertiatide
IV
69233-5
Parotid
gland
Scan
W
Tc-99m
pertechnetate
IV
25001-9
Scrotum
and
Testicle
Scan
W
Tc-99m
pertechnetate
IV
26091-9
Scrotum
and
Testicle
-
bilateral
Scan
W
Tc-99m
pertechnetate
IV
26092-7
Scrotum
and
Testicle
-
left
Scan
W
Tc-99m
pertechnetate
IV
26093-5
Scrotum
and
Testicle
-
right
Scan
W
Tc-99m
pertechnetate
IV
44146-9
Bone
marrow
Scan
W
Tc-99m
SC
IV
39689-5
Gastrointestine
Scan
W
Tc-99m
SC
IV
69230-1
Liver
Scan
W
Tc-99m
SC
IV
39764-6
Vein
Scan
W
Tc-99m
SC
IV
24683-5
Esophagus
and
Stomach
Scan
W
Tc-99m
SC
PO
44145-1
Parathyroid
Scan
W
Tc-99m
Sestamibi
IV
39756-2
Thyroid
Scan
W
Tc-99m
Sestamibi
IV
24714-8
Gastrointestine
Scan
W
Tc-99m
tagged
RBC
IV
44143-6
Heart
Scan
W
Tc-99m
tagged
RBC
IV
39690-3
Liver
Scan
W
Tc-99m
tagged
RBC
IV
42700-5
Bone
Scan
W
Tc-99m
tagged
WBC
IV
24751-0
Parathyroid
Scan
W
TI-201
subtraction
Tc-99m
IV
39635-8
Brain
Scan
W
Tl-201
IV
51389-5
Breast
Scan
W
Tl-201
IV
42012-5
Gastrointestine
upper
Fluoroscopy
W
water
soluble
contrast
PO
24669-4
Colon
Fluoroscopy
W
water
soluble
contrast
PR
37577-4
Acromioclavicular
Joint
X-ray
W
weight
37578-2
Acromioclavicular
joint
-
bilateral
X-ray
W
weight
44144-4
Liver
Scan
W
Xe-133
inhaled
37582-4
Acromioclavicular
Joint
X-ray
WO
weight
69055-2
Acromioclavicular
joint
-
bilateral
X-ray
WO
weight
52073-4
Vision
attachment
28631-0
Visual
acuity
study
46242-4
Fetal
Document
Vital
signs
measurements
52070-0
Workers
compensation
74282-5
Individual
counseling
note
71683-7
FDA
package
insert
PMI
-
Stop
taking
and
call
your
doctor
section
71685-2
FDA
package
insert
PMI
-
Tell
your
doctor
before
taking
section
34086-9
FDA
package
insert
Abuse
section
60555-0
FDA
package
insert
Accessories
34084-4
FDA
package
insert
Adverse
reactions
section
69761-5
FDA
package
insert
Alarms
70946-9
Ancillary
eye
tests
Narrative
34091-9
FDA
package
insert
Animal
pharmacology/toxicology
section
48767-8
Annotation
comment
Narrative
60556-8
FDA
package
insert
Assembly
or
installation
instructions
35519-8
Clinical
trial
protocol
Assessment
of
safety
section
35517-2
Clinical
trial
protocol
Assessment
section
35511-5
Clinical
trial
protocol
Background
information
section
34066-1
FDA
package
insert
Boxed
warning
section
60557-6
FDA
package
insert
Calibration
instructions
72135-7
Cancer
diagnosis
Narrative
34083-6
FDA
package
insert
Carcinogenesis
and
mutagenesis
and
impairment
of
fertility
section
60684-8
FDA
product
label
Cellular
therapy
60558-4
FDA
package
insert
Cleaning,
disinfecting,
and
sterilization
instructions
34090-1
FDA
package
insert
Clinical
pharmacology
section
34092-7
FDA
package
insert
Clinical
studies
section
35528-9
Clinical
trial
protocol
Clinical
trial
protocol
69760-7
FDA
package
insert
Compatible
accessories
60559-2
FDA
package
insert
Components
70940-2
Confrontation
visual
field
Narrative
34070-3
FDA
package
insert
Contraindications
section
34085-1
FDA
package
insert
Controlled
substance
section
57826-0
Co-payment
amount
Narrative
57025-9
Data
criteria
Narrative
35524-8
Clinical
trial
protocol
Data
handling
and
record
keeping
section
34087-7
FDA
package
insert
Dependence
section
34089-3
FDA
package
insert
Description
section
69758-1
FDA
package
insert
Diagram
of
device
35521-4
Clinical
trial
protocol
Direct
access
to
source
data+documents
section
69763-1
FDA
package
insert
Disposal
and
waste
handling
34068-7
FDA
package
insert
Dosage
and
administration
section
43678-2
FDA
package
insert
Dosage
forms
and
strengths
section
34074-5
FDA
package
insert
Drug/laboratory
test
interactions
section
42227-9
FDA
package
insert
Drug
abuse
and
dependence
section
34073-7
FDA
package
insert
Drug
interactions
section
35518-0
Clinical
trial
protocol
Efficacy
assessment
section
35523-0
Clinical
trial
protocol
Ethics
section
61147-5
Expected
outcomes
Narrative
70943-6
Eye
anterior
segment
Narrative
70941-0
Eye
external
Narrative
70944-4
Eye
posterior
segment
Narrative
35525-5
Clinical
trial
protocol
Financing
and
insurance
section
35510-7
Clinical
trial
protocol
General
information
section
34072-9
FDA
package
insert
General
precautions
section
71743-9
FDA
product
label
Generic
drug
facility
identification
submission
34082-8
FDA
package
insert
Geriatric
use
section
61146-7
Goals
Narrative
71744-7
FDA
package
insert
Health
care
provider
letter
69719-3
FDA
product
label
Health
claim
section
69670-8
Health
quality
measure
supplemental
data
Narrative
34069-5
FDA
package
insert
How
supplied
section
72090-4
FDA
product
label
Identification
of
CBER-regulated
generic
drug
facility
64123-3
FDA
package
insert
Indexing
-
adverse
reaction
71446-9
FDA
package
insert
Indexing
-
billing
unit
60685-5
FDA
package
insert
Indexing
-
pharmacologic
class
73815-3
FDA
package
insert
Indexing
-
product
concept
64124-1
FDA
package
insert
Indexing
-
substance
34067-9
FDA
package
insert
Indications
and
usage
section
34076-0
FDA
package
insert
Information
for
patients
section
69730-0
Instructions
[Text]
Narrative
59845-8
FDA
package
insert
Instructions
for
use
section
60560-0
FDA
package
insert
Intended
use
of
available
versions,
see
the
device
62387-6
Interventions
Narrative
34079-4
FDA
package
insert
Labor
and
delivery
section
34075-2
FDA
package
insert
Laboratory
tests
section
70945-1
Lacrimal
Narrative
70939-4
Lensometry
measurements
Narrative
66105-8
FDA
package
insert
Lot
distribution
data
74045-6
Measure
description
Narrative
57027-5
Measure
observations
Narrative
43679-0
FDA
package
insert
Mechanism
of
action
section
49489-8
FDA
package
insert
Microbiology
section
43680-8
FDA
package
insert
Nonclinical
toxicology
section
34078-6
FDA
package
insert
Nonteratogenic
effects
section
34080-2
FDA
package
insert
Nursing
mothers
section
61149-1
Objective
Narrative
70942-8
Ocular
alignment
and
motility
Narrative
70934-5
Ocular
history
Narrative
70948-5
Ocular
physical
exam
Narrative
70935-2
Ophthalmic
medications
Narrative
60561-8
FDA
package
insert
Other
safety
information
34088-5
FDA
package
insert
Overdosage
section
51941-3
FDA
product
label
Back
panel
of
package
51947-0
FDA
product
label
Bottom
panel
of
package
51948-8
FDA
product
label
Flap
panel
of
package
51945-4
FDA
product
label
Principal
display
panel
of
package
51944-7
FDA
product
label
Side
panel
of
package
51943-9
FDA
product
label
Side
panel
of
package
Left
51942-1
FDA
product
label
Side
panel
of
package
Right
51946-2
FDA
product
label
Top
panel
of
package
34081-0
FDA
package
insert
Pediatric
use
section
43681-6
FDA
package
insert
Pharmacodynamics
section
66106-6
FDA
package
insert
Pharmacogenomics
section
43682-4
FDA
package
insert
Pharmacokinetics
section
59772-4
Planned
procedure
Narrative
60683-0
FDA
product
label
Plasma
derivative
71681-1
FDA
package
insert
PMI
-
Common
side
effects
section
71684-5
FDA
package
insert
PMI
-
Directions
for
use
section
71686-0
FDA
package
insert
PMI
-
Do
not
take
section
71682-9
FDA
package
insert
PMI
-
Get
emergency
medical
help
section
71687-8
FDA
package
insert
PMI
-
Important
information
section
71688-6
FDA
package
insert
PMI
-
Uses
section
57026-7
Population
criteria
Narrative
69669-0
Population
stratification
description
Narrative
59769-0
Postprocedure
diagnosis
Narrative
42232-9
FDA
package
insert
Precautions
section
42228-7
FDA
package
insert
Pregnancy
section
57059-8
Pregnancy
visit
summary
note
Narrative
59774-0
Procedure
anesthesia
Narrative
59775-7
Procedure
disposition
Narrative
59770-8
Procedure
estimated
blood
loss
Narrative
59776-5
Procedure
findings
Narrative
59771-6
Procedure
implants
Narrative
59768-2
Procedure
indications
Narrative
59773-2
Procedure
specimens
taken
Narrative
35526-3
Clinical
trial
protocol
Publication
policy
section
35522-2
Clinical
trial
protocol
Quality
control
and
quality
assurance
section
57827-8
Reason
for
co-payment
exemption
Narrative
43683-2
FDA
package
insert
Recent
major
changes
section
34093-5
FDA
package
insert
References
section
70938-6
Refractive
measurements
Narrative
69759-9
FDA
package
insert
Risks
48779-3
FDA
package
insert
Structured
product
labelling
indexing
data
elements
section
48780-1
FDA
package
insert
Structured
product
labelling
listing
data
elements
section
42231-1
FDA
package
insert
Structured
product
labelling
medguide
section
42230-3
FDA
package
insert
Structured
product
laballing
patient
package
insert
section
38056-8
FDA
package
insert
Structured
product
laballing
supplemental
patient
material
42229-5
FDA
package
insert
Structured
patient
labelling
unclassified
section
69718-5
FDA
product
label
Statement
of
identity
section
35520-6
Clinical
trial
protocol
Statistics
section
44425-7
FDA
package
insert
Storage
and
handling
section
35515-6
Clinical
trial
protocol
Subject
participation
+
epochs
section
35514-9
Clinical
trial
protocol
Subject
selection
and
withdrawal
section
61150-9
Subjective
Narrative
35527-1
Clinical
trial
protocol
Supplements
section
55122-6
Surgical
operation
note
implants
Narrative
34077-8
FDA
package
insert
Teratogenic
effects
section
35516-4
Clinical
trial
protocol
Treatment
Directory
of
subjects
+
epochs
section
35513-1
Clinical
trial
protocol
Trial
design
section
42796-3
Clinical
trial
protocol
Trial
name
35512-3
Clinical
trial
protocol
Trial
objectives
and
purpose
section
69762-3
FDA
package
insert
Troubleshooting
43684-0
FDA
package
insert
Use
in
specific
populations
section
54433-8
FDA
package
insert
User
safety
warnings
section
70936-0
Vision
testing
Narrative
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
|
|
|
|
|
Raw
JSON
(
Preferred
canonical
form
+
also
see
JSON
Format
Specification
)
The
OID
for
the
value
set
is
2.16.840.1.113883.4.642.2.1766
(OIDs
are
not
used
in
FHIR,
but
may
be
used
in
v3,
or
OID
based
terminology
systems).
Amoxicillin-Clavulanate
Example
See
Usage
note:
every
effort
has
been
made
to
ensure
that
the
full
registry
of
value
sets
defined
as
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
FHIR.
the
specification.